Development of an Advanced Dynamic Microindentation System to Determine Local Viscoelastic Properties of Polymers.

This study presents a microindentation system which allows spatially resolved local as well as bulk viscoelastic material information to be obtained within one instrument. The microindentation method was merged with dynamic mechanical analysis (DMA) for a tungsten cone indenter. Three tungsten cone indenters were investigated: tungsten electrode, tungsten electrode + 2% lanthanum, and tungsten electrode + rare earth elements. Only the tungsten electrode + 2% lanthanum indenter showed the sinusoidal response, and its geometry remained unaffected by the repeated indentations. Complex moduli obtained from dynamic microindentation for high-density polyethylene, polybutylene terephthalate, polycarbonate, and thermoplastic polyurethane are in agreement with the literature. Additionally, by implementing a specially developed x-y-stage, this study showed that dynamic microindentation with a tungsten cone indenter was an adequate method to determine spatially resolved local viscoelastic surface properties.

Correlation of shear and dielectric ion viscosity of dental resins - Influence of composition, temperature and filler content.

OBJECTIVE: Shear viscosity and ion viscosity of uncured visible light-curing (VLC) resins and resin based composites (RBC) are correlated with respect to the resin composition, temperature and filler content to check where Dielectric Analysis (DEA) investigations of VLC RBC generate similar results as viscosity measurements. METHODS: Mixtures of bisphenol A glycidyl methacrylate (Bis-GMA) and triethylene glycol dimethacrylate (TEGDMA) as well as the pure resins were investigated and compared with two commercial VLC dental resins and RBCs (VOCO, Arabesk Top and Grandio). Shear viscosity data was obtained using a Haake Mars III, Thermo Scientific. Ion viscosity measurements performed by a dielectric cure analyzer (DEA 231/1 Epsilon with Mini IDEX-Sensor, Netzsch-Gerätebau). RESULTS: Shear viscosity depends reciprocally on the mobility of molecules, whereas the ion viscosity also depends on the ion concentration as it is affected by both ion concentration and mixture viscosity. Except of pure TEGDMA, shear and ion viscosities depend on the resin composition qualitatively in a similar manner. Furthermore, shear and ion viscosities of the commercial VLC dental resins and composites exhibited the same temperature dependency regardless of filler content. Application of typical rheological models (Kitano and Quemada) revealed that ion viscosity measurements can be described with respect to filler contents of up to 30vol.%. SIGNIFICANCE: Rheological behavior of a VLC RBC can be characterized by DEA under the condition that the ion concentration is kept constant. Both methods address the same physical phenomenon - motion of molecules. The proposed relations allows for calculating the viscosity of any Bis-GMA-TEGDMA mixture on the base of the viscosities of the pure components. This study demonstrated the applicability of DEA investigations of VLC RBCs with respect to quality assurance purposes.

Effect of a broad-spectrum LED curing light on the Knoop microhardness of four posterior resin based composites at 2, 4 and 6-mm depths.

OBJECTIVE: To measure the Knoop microhardness at the bottom of four posterior resin-based composites (RBCs): Tetric EvoCeram Bulk Fill (Ivoclar Vivadent), SureFil SDR flow (DENTSPLY), SonicFill (Kerr), and x-tra fil (Voco). METHODS: The RBCs were expressed into metal rings that were 2, 4, or 6-mm thick with a 4-mm internal diameter at 30°C. The uncured specimens were covered by a Mylar strip and a Bluephase 20i (Ivoclar Vivadent) polywave(®) LED light-curing unit was used in high power setting for 20s. The specimens were then removed and placed immediately on a Knoop microhardness-testing device and the microhardness was measured at 9 points across top and bottom surfaces of each specimen. Five specimens were made for each condition. RESULTS: As expected, for each RBC there was no significant difference in the microhardness values at the top of the 2, 4 and 6-mm thick specimens. SureFil SDR Flow was the softest resin, but was the only resin that had no significant difference between the KHN values at the bottom of the 2 and 4-mm (Mixed Model ANOVA p<0.05). Although the KHN of SureFil SDR Flow was only marginally significantly different between the 2 and 6-mm thickness, the bottom at 6-mm was only 59% of the hardness measured at the top. CLINICAL SIGNIFICANCE: This study highlights that clinicians need to consider how the depth of cure was evaluated when determining the depth of cure. SureFil SDR Flow was the softest material and, in accordance with manufacturer's instructions, this RBC should be overlaid with a conventional resin.

Qualitative Beam Profiling of Light Curing Units for Resin Based Composites.

This study investigates two technically simple methods to determine the irradiance distribution of light curing units that governs the performance of a visible-light curing resin-based composites. Insufficient light irradiation leads to under-cured composites with poor mechanical properties and elution of residual monomers. The unknown irradiance distribution and its effect on the final restoration are the main critical issues requiring highly sophisticated experimental equipment. The study shows that irradiance distributions of LCUs can easily be determined qualitatively with generally available equipment. This significantly helps dentists in practices to be informed about the homogeneity of the curing lights.

Examining exposure reciprocity in a resin based composite using high irradiance levels and real-time degree of conversion values.

OBJECTIVE: Exposure reciprocity suggests that, as long as the same radiant exposure is delivered, different combinations of irradiance and exposure time will achieve the same degree of resin polymerization. This study examined the validity of exposure reciprocity using real time degree of conversion results from one commercial flowable dental resin. Additionally a new fitting function to describe the polymerization kinetics is proposed. METHODS: A Plasma Arc Light Curing Unit (LCU) was used to deliver 0.75, 1.2, 1.5, 3.7 or 7.5 W/cm(2) to 2mm thick samples of Tetric EvoFlow (Ivoclar Vivadent). The irradiances and radiant exposures received by the resin were determined using an integrating sphere connected to a fiber-optic spectrometer. The degree of conversion (DC) was recorded at a rate of 8.5 measurements a second at the bottom of the resin using attenuated total reflectance Fourier Transform mid-infrared spectroscopy (FT-MIR). Five specimens were exposed at each irradiance level. The DC reached after 170s and after 5, 10 and 15 J/cm(2) had been delivered was compared using analysis of variance and Fisher's PLSD post hoc multiple comparison tests (alpha=0.05). RESULTS: The same DC values were not reached after the same radiant exposures of 5, 10 and 15 J/cm(2) had been delivered at an irradiance of 3.7 and 7.5 W/cm(2). Thus exposure reciprocity was not supported for Tetric EvoFlow (p<0.05). SIGNIFICANCE: For Tetric EvoFlow, there was no significant difference in the DC when 5, 10 and 15J/cm(2) were delivered at irradiance levels of 0.75, 1.2 and 1.5 W/cm(2). The optimum combination of irradiance and exposure time for this commercial dental resin may be close to 1.5 W/cm(2) for 12s.

Effect of the irradiance distribution from light curing units on the local micro-hardness of the surface of dental resins.

OBJECTIVE: An inhomogeneous irradiance distribution from a light-curing unit (LCU) can locally cause inhomogeneous curing with locally inadequately cured and/or over-cured areas causing e.g. monomer elution or internal shrinkage stresses, and thus reduce the lifetime of dental resin based composite (RBC) restorations. The aim of the study is to determine both the irradiance distribution of two light curing units (LCUs) and its influence on the local mechanical properties of a RBC. METHODS: Specimens of Arabesk TOP OA2 were irradiated for 5, 20, and 80s using a Bluephase® 20i LCU in the Low mode (666mW/cm(2)), in the Turbo mode (2222mW/cm(2)) and a Celalux® 2 (1264mW/cm(2)). The degree of conversion (DC) was determined with an ATR-FTIR. The Knoop micro-hardness (average of five specimens) was measured on the specimen surface after 24h of dark and dry storage at room temperature. RESULTS: The irradiance distribution affected the hardness distribution across the surface of the specimens. The hardness distribution corresponded well to the inhomogeneous irradiance distributions of the LCU. The highest reaction rates occurred after approximately 2s light exposure. A DC of 40% was reached after 3.6 or 5.7s, depending on the LCU. The inhomogeneous hardness distribution was still evident after 80s of light exposure. SIGNIFICANCE: The irradiance distribution from a LCU is reflected in the hardness distribution across the surface. Irradiance level of the LCU and light exposure time do not affect the pattern of the hardness distribution--only the hardness level. In areas of low irradiation this may result in inadequate resin polymerization, poor physical properties, and hence premature failure of the restorations as they are usually much smaller than the investigated specimens. It has to be stressed that inhomogeneous does not necessarily mean poor if in all areas of the restoration enough light intensity is introduced to achieve a high degree of cure.

Curing kinetics of visible light curing dental resin composites investigated by dielectric analysis (DEA).

During the curing process of light curing dental composites the mobility of molecules and molecule segments is reduced leading to a significant increase of the viscosity as well as the ion viscosity. Thus, the kinetics of the curing behavior of 6 different composites was derived from dielectric analysis (DEA) using especially redesigned flat sensors with interdigit comb electrodes allowing for irradiation at the top side and measuring the ion viscosity at the bottom side. As the ion viscosities of dental composites change 1-3 orders of magnitude during the curing process, DEA provides a sensitive approach to evaluate their curing behavior, especially in the phase of undisturbed chain growth. In order to determine quantitative kinetic parameters a kinetic model is presented and examined for the evaluation of the ion viscosity curves. From the obtained results it is seen that DEA might be employed in the investigation of the primary curing process, the quality assurance of ingredients as well as the control of processing stability of the light curing dental composites.

[Paraplegia after suicidal attempt]. / Paraplegie nach Suizidversuch.

For the first time in Switzerland, patients were followed up who had become paraplegic after a suicidal attempt, and who had to spend a certain time in a center for paraplegics (corresponding to 3 % of all traumatically induced cases of myeloparalysis). Records and catamnestic data of patients with paraplegia after suicidal attempt during the years 1982 - 1996 (n = 38)--all being or having been patients of the centers for paraplegics f Basel and Nottwil (canton of Lucerne)--were evaluated. Catamnestic investigations performed from one month to 14 years after the suicidal attempt, based on a structured dialogue with a standardized, computerized questionnaire, led, among others, to the following conclusions: The average age of these patients (20 males and 18 females) was 38 years. The most frequently encountered suicidal method, leading to the paraplegic lesion, was a fall from a window of a building (89,6 %). In 55 % of the cases, psychiatric disease, especially depression, alcohol and drug dependence, had been diagnosed prior to the suicidal attempt. 37 % of patients hat attempted suicide at least once before the attempt leading to the paraplegic condition. 34 % had been hospitalized for psychiatric reasons on an earlier occasion. In 26 %, a farewell letter was written. As far as the level of the paraplegic lesions is concerned, patients were equally distributed (50 % each) between thoracal/cervical and lumbar lesions. The associated sexual impairment was experienced by each one of the 38 patients as a most disturbing problem. Despite the limited number of cases and the partially short time interval between the suicidal attempt and the follow-up investigation, results seem to indicate that such patients are not likely to commit suicide on a later occasion. One single patient had tried to commit suicide several times after the suicidal attempt event under discussion.