Influence of one-step professional mechanical tooth cleaning pastes on surface roughness and morphological features of tooth substrates and restoratives.

PURPOSE: This study investigated the influence of professional mechanical tooth cleaning (PMTC) pastes on the surface texture of different subject materials. METHODS: Two one-step PMTC pastes, Clinpro Cleaning Paste for PMTC (CP) and PRG Pro-Care Gel (PG), and multiple-step PMTC pastes, Merssage Regular (MR), Merssagge Fine (MF), and Merssage Plus (MP), were used. For comparison, PMTC was performed using distilled water without paste (DW). The subjected materials used were bovine enamel (ENA) and dentin (DEN), a resin composite (FSU), and lithium disilicate (IEC). The prepared specimens were polished using a #2000-grit silicon carbide paper. PMTC was performed using a brush at 1,000 rpm for 15 s. RESULTS: The surface roughness (Ra) values of the specimens before and after PMTC were measured by laser scanning microscopy. The Knoop hardness number (KHN) of the subjected material was obtained. The types of PMTC pastes and subject materials had a significant influence on the Ra values and KHN. For the majority of subject materials, the descending order of Ra values after PMTC was MR > MF > CP > PG > MP > DW. The descending order of KHN of the materials was IEC > ENA > FSU > DEN. CONCLUSION: Although one-step PMTC pastes appeared to be effective, it is important to consider the subject material during PMTC.

A newly developed age estimation method based on CpG methylation of teeth-derived DNA using real-time methylation-specific PCR.

Age estimation of unidentified bodies is important in forensic medicine and crime scenes. There is accumulating evidence that DNA methylation in the human genome isolated from body fluids changes with age. Most of the data have been obtained by pyrosequencing. In the forensic field, a simple, quick, and economical method is required to evaluate the age of various types of samples. In this study, an age estimation method based on methylation levels of DNA extracted from teeth using real-time methylation-specific PCR (MSP) was developed. The CpG island in the upstream region of ELOVL2, which is known as a validated biomarker in blood samples, was selected as a target site. The CpG methylation levels highly correlated with age (r = 0.843, n = 29). Age-related increase in DNA methylation levels was not affected by sex differences. In addition, the simple regression model based on methylation status of the CpG island exhibited moderate accuracy with a mean absolute deviation between chronological age and predicted age of 8.94 years. The results imply that real-time MSP can be a new tool to perform age prediction of unidentified bodies in forensic scenes.

Ultrasonic measurement of remaining dentin thickness using a pencil-type transducer.

PURPOSE: To evaluate the ability of a pencil-type transducer connected to a pulser-receiver to measure remaining dentin thickness (RDT). METHODS: A total of 24 freshly extracted bovine incisors were used to prepare dentin disks with certain thicknesses (0.5, 1.0, 1.5 and 2.0 mm). The thicknesses of the specimens were measured with an ultrasonic technique using a pencil-type transducer, and the data obtained were compared with the direct measurement obtained using a micrometer. The Bland-Altman comparison method and paired t-test were performed at a 0.05 significance level. RESULTS: The agreement between different measurement methods was analyzed to evaluate the inter-methodology variation. The Bland-Altman comparison method revealed a mean difference of 0.0098 ± 0.724 mm between the ultrasonic technique and the direct measurement, with the 95% Bland-Altman limits of agreement ranging from 0.1322 to 0.1517 mm. CLINICAL SIGNIFICANCE: Ultrasonic measurement using the pencil-type transducer may be a promising method to evaluate remaining dentin thickness.

Effect of a coating material containing surface reaction-type pre-reacted glass-ionomer filler on prevention of primary enamel demineralization detected by optical coherence tomography.

We used optical coherence tomography to examine the effect of a coating material containing surface reaction-type pre-reacted glass-ionomer (S-PRG) filler on primary enamel demineralization in 18 extracted human primary teeth. The pulp was removed, and each tooth was ultrasonically cleaned with distilled water. Six teeth were treated with 0.1-M lactic acid buffer solution (De group). In the second group (n = 6), a thin film of coating material was applied before demineralization (PRG group). A third group (Control group; n = 6) was maintained in artificial saliva. Using optical coherence tomography, we measured peak signal intensity (dB) and width at 1/e2 (µm) at predetermined locations on the enamel surface and calculated integrated values. All data were analyzed with ANOVA and the Tukey-Kramer test (α = 0.05). Although changes in integrated values differed between groups, there was a small but significant increase in the Control group and a small but significant decrease in the De group. In the PRG group, integrated values were significantly higher at 7 days after the start of the experiment and significantly increased thereafter. Our findings indicate that a coating material containing S-PRG fillers may prevent primary enamel demineralization.

Effect of acid erosion on enamel bond strength of self-etch adhesives and sonic velocity measurement of enamel.

The purpose of this study was to investigate the effect of acid erosion on the bonding performance of universal adhesives. Freshly extracted bovine teeth were cut into enamel slabs and assigned to either the Er or the control group. Specimens in the Er group were immersed in citric acid solution (pH 2.1) twice a day and stored in artificial saliva, while control specimens were simply stored in artificial saliva. Differences in the mean values between the control and Er groups were greater than expected, despite accounting for the effect of differences in the adhesive systems (p=0.016). The Er group mainly exhibited cohesive failure in the enamel, while adhesive failure was more frequent in the control group. The sonic velocity was found to decrease over time in the acid attacked specimens. The results indicated that bond strengths of universal adhesive tested increased in eroded enamel.

Enamel remineralization effect of a dentifrice containing calcium sodium phosphosilicate: an optical coherence tomography observation.

OBJECTIVE: The purpose of this study was to examine the effects of a dentifrice containing 5% calcium sodium phosphosilicate (CSP) on the remineralization of the enamel using optical coherence tomography (OCT). MATERIALS AND METHODS: Bovine incisors were sliced and shaped in a rectangular form. One group of five specimens was treated with undersaturated 0.1 M lactic acid buffer solution (pH 4.75) for 10 min and then placed in artificial saliva (pH 7.0) (De group). Other specimens were stored in solutions of toothpaste containing CSP for 10 min, followed by 10-min immersion in the lactic acid buffer solution twice a day before storage in artificial saliva (CSP group). An additional group was stored in only artificial saliva (control group). OCT imaging on the selected location of the enamel surface was performed. The peak intensity and width at 1/e2 were recorded in each of the six areas on the sample and averaged, and the sample size of each group was six. The integrated value in units (dB × µm) was calculated in the area of peak intensity. The data for each group was subjected to one-way repeated-measures ANOVA and Tukey HSD tests (α = 0.05). RESULTS: The changes in integrated values of each group were different. A slight but significant increase in the integrated value was observed in the control group, whereas a slight but significant decrease in the value was observed the De group. Integrated values increased in the CSP group. CONCLUSIONS: Remineralization occurred upon immersion in the toothpaste containing CSP.

Ultrasonic monitoring of the setting of silicone elastomeric impression materials.

This study used an ultrasonic measurement device to monitor the setting behavior of silicone elastomeric impression materials, and the influence of temperature on setting behavior was determined. The ultrasonic device consisted of a pulser-receiver, transducers, and an oscilloscope. The two-way transit time through the mixing material was divided by two to account for the down-and-back travel path; then it was multiplied by the sonic velocity. Analysis of variance and the Tukey honest significant difference test were used. In the early stages of the setting process, most of the ultrasonic energy was absorbed by the elastomers and the second echoes were relatively weak. As the elastomers hardened, the sonic velocities increased until they plateaued. The changes in sonic velocities varied among the elastomers tested, and were affected by temperature conditions. The ultrasonic method used in this study has considerable potential for determining the setting processes of elastomeric impression materials.

Ultrasonic assessment of the effects of self-assembling peptide scaffolds on preventing enamel demineralization.

OBJECTIVES: This study evaluates the effect of self-assembling peptide P11-4 (Curodont Repair, CDR) on bovine enamel remineralization by measuring changes in ultrasonic propagation velocity. METHODS: Six specimens per group were prepared by sectioning bovine teeth into enamel blocks. These blocks were then immersed in lactic acid buffer solution (pH = 4.75) for 10 min twice a day and stored in artificial saliva. Other specimens were first treated with CDR, followed by a 10-min immersion in the lactic acid buffer solution twice a day, before storage in artificial saliva. The propagation time of longitudinal ultrasonic waves was measured using a pulser/receiver. Six specimens were used for each treatment protocol. The obtained data were statistically analyzed using ANOVA followed by Tukey's honestly significant difference tests (α = 0.05). Specimens were observed using laser scanning microscopy and scanning electron microscopy. RESULTS: Sonic velocity was found to decrease with time for specimens stored in the demineralizing solution. On the other hand, increases in sonic velocity were found for specimens treated with CDR. These specimens also exhibited signs of mineral deposition. CONCLUSIONS: By measuring the ultrasonic propagation velocity, it can be concluded that CDR application has an ability to promote bovine enamel remineralization.

Ultrasonic measurement of the effects of light irradiation and presence of water on the polymerization of self-adhesive resin cement.

Self-adhesive resin cements are useful in restorations because they reduce the number of clinical steps involved in the restoration process. This study evaluated, using ultrasonic measurements, the influence of light irradiation and the presence of water on the polymerization behavior and elastic modulus of a self-adhesive resin cement. A self-adhesive resin cement (RelyX Unicem 2 Automix) or a resin cement (RelyX ARC) was inserted into a transparent mold on a sample stage, and the presence of water and effect of light-irradiation were evaluated. The transit time of a sonic wave through the cement disk was divided by the specimen thickness to obtain the sonic velocity, and longitudinal and shear waves were used to determine the elastic modulus. When the resin cements were light-irradiated, the sonic velocity rapidly increased and plateaued at 2,500-2,700 m s-1 . When the cements were not irradiated, the rates of increase in the sonic velocity were reduced. When water was applied to the sample stage, the sonic velocity was reduced. The elastic modulus values of the specimens ranged from 9.9 to 15.9 GPa after 24 h. The polymerization behavior of self-adhesive resin cements is affected by the polymerization mode and the presence of water.

Evaluation of the effects of fluoride-releasing varnish on dentin demineralization using optical coherence tomography.

Effects of a fluoride-releasing varnish containing surface reaction-type prereacted glass ionomer (S-PRG) filler on dentin demineralization were examined using optical coherence tomography. Bovine incisors that were sliced and treated with undersaturated 0.1 M lactic acid buffer solution (DE group). A thin film of varnish-containing S-PRG filler was applied before demineralization (PRG group). Control was maintained in artificial saliva. Using optical coherence tomography of selected locations on the dentin surface, peak intensity (dB) and width (µm) at 1/e(2) were obtained and integrated values calculated. Although alterations in integrated values were different in each group, there was a slight but not significant increase in those for the control group and a slight but significant increase for the De group. For the PRG group, integrated values were doubled seven days after experiment initiation, followed by a significant increase. Fluoride-releasing varnish containing S-PRG fillers prevented dentin demineralization as detected by optical coherence tomography.

Optical coherence tomography examination of the effect of S-PRG filler extraction solution on the demineralization of bovine enamel.

The purpose of this study was to determine the effect of PRG filler extraction solution on the demineralization of enamel using optical coherence tomography (OCT). Bovine enamel was treated with lactic acid buffer solution and then placed in artificial saliva (De group). In the second group, specimens were stored in PRG filler extraction solution followed by immersion in lactic acid buffer solution (PRG group). In the control group, specimens were simply stored in artificial saliva. From the OCT image, the peak intensity (dB) and width at (1/e(2)) were obtained, and the integrated value was calculated. The data were analyzed using Tukey-Kramer tests (α=0.05). There was a slight but significant increase in the integrated value observed for the control group, and a slight but significant decrease in the value observed for the De group. For the PRG group, integrated values were doubled after seven days from the start of the experiment.

Ultrasonic investigation of the effect of S-PRG filler-containing coating material on bovine tooth demineralization.

This study investigated the effect of a coating material containing S-PRG fillers on the demineralization of bovine enamel and dentin, by measuring changes in the transmitted ultrasonic velocity. Bovine enamel and dentin specimens with and without coating (n=6 for each condition) were cut into blocks, immersed in 0.1 M lactic-acid buffer solution (pH 4.75) for 10 min twice daily throughout the test period, and stored in a demineralising artificial saliva solution (pH 7.0) between treatments. The propagation time of longitudinal ultrasonic waves was measured by a pulser-receiver with a transducer. Data were evaluated using ANOVA followed by Tukey's HSD test (α=0.05). The sonic velocity decreased over time for specimens stored in demineralising solution; however, coated specimens had a significantly higher sonic velocity than those without coating. The coating material containing pre-reacted glass-ionomer fillers therefore appeared to reduce the demineralisation of enamel and dentin.

Influence of tooth-surface hydration conditions on optical coherence-tomography imaging.

OBJECTIVES: This study examined the influence of tooth-surface hydration conditions on optical coherence tomography (OCT) imaging. METHODS: Emitted light was coupled in a single-mode fibre-optic Michelson interferometer, and delivered to a sample and a reference mirror mounted on a linearly translating galvanometer driven by a triangular voltage waveform at a fringe-modulation frequency of 1kHz. Backscattered light from the sample was coupled back to the system, digitised and used to create two-dimensional images together with beam scanning. OCT imaging of the occlusal surfaces of 10 extracted human teeth was performed soon after mounting ('wet' condition), immediately after air blowing for 10s ('air-blow' condition), and at intervals thereafter ('1-min', '5-min' and '10-min' conditions, respectively). RESULTS: For the wet condition, three distinct peaks indicated the water surface, tooth surface and dentino-enamel junction. Backscattered light was detected at levels above noise, possibly causing grainy OCT images. By contrast, two distinct peaks indicating the tooth surface and dentino-enamel junction were observed for the air-blow and 10-min conditions, with greater signal intensities for the latter. The intensity was lower for the air-blow condition than the wet condition. The signal intensities decreased during storage in air at room temperature. CONCLUSION: Tooth-substrate hydration conditions thus appeared to influence time domain-OCT imaging.

Influence of power density and primer application on polymerization of dual-cured resin cements monitored by ultrasonic measurement.

We used ultrasonic measurements to monitor the influence of power density and primer application on the polymerization reaction of dual-cured resin cements. The ultrasonic equipment comprised a pulser-receiver, transducers, and an oscilloscope. Resin cements were mixed and inserted into a transparent mould, and specimens were placed on the sample stage, onto which the primer, if used, was also applied. Power densities of 0 (no irradiation), 200, or 600 mW cm(-2) were used for curing. The transit time through the cement disk was divided by the specimen thickness to obtain the longitudinal sound velocity. When resin cements were light-irradiated, each curve displayed an initial plateau of approximately 1,500 m s(-1), which rapidly increased to a second plateau of 2,300-2,900 m s(-1). The rate of sound velocity increase was retarded when the cements were light-irradiated at lower power densities, and increased when the primer was applied. The polymerization behaviour of dual-cured resin cements was therefore shown to be affected by the power density of the curing unit and the application of self-etching primer.

Detection of ions released from S-PRG fillers and their modulation effect.

The purpose of this study was to analyze the ions released from a surface pre-reacted glass ionomer (S-PRG) filler in distilled water or lactic acid solution. S-PRG filler was mixed with either solution at 1000:1, 100:1, 10:1, and 1:1 ratios by weight. By means of inductively coupled plasma atomic emission spectroscopy and a fluoride electrode, elements released from S-PRG filler were identified to be Al, B, Na, Si, Sr, and F. To investigate the effect of solution pH on ion release, the pH values of the solutions before mixing and after 24 hours' mixing with S-PRG were measured. After 24 hours' mixing, the pH values of solutions at all ratios became more neutral or weakly alkaline regardless of their initial pH levels before mixing. In conclusion, results showed that S-PRG filler released several types of ions, and that ion release was influenced by the mixing ratio of the solution rather than the initial pH of the solution.

Enamel bonding of single-step self-etch adhesives: influence of surface energy characteristics.

OBJECTIVES: This study examined the surface free energy of enamel treated with the single-step self-etching adhesives Bond Force, Clearfil tri-S Bond and G-Bond. METHODS: The labial enamel surfaces of bovine mandibular incisors were wet ground with #180-grit, #600-grit and #2000-grit silicon carbide paper. The adhesives were applied to the ground enamel, and then rinsed with acetone and distilled water. The surface free energies were determined by measuring the contact angles of three test liquids placed on the adhesive-treated enamel. The data for each adhesive system were analyzed using analysis of variance and Tukey's honestly significant difference test. RESULTS: The surface free energies of the samples treated with the G-Bond and tri-S Bond adhesives increased as the surface roughness decreased. No significant differences in the surface free energy were found for the samples treated with the Bond Force adhesive regardless of the surface roughness. CONCLUSION: The results indicated that the surface free energies and their components of the treated enamel surfaces were different among the adhesive systems used.

Influence of previous acid etching on dentin bond strength of self-etch adhesives.

The purpose of this study was to investigate the effect of previous phosphoric acid etching on the dentin bond strength of single-step self-etch adhesive systems. Facial surfaces of bovine teeth were wet ground with #600 SiC paper. Adhesives were applied with and without previous phosphoric acid etching, and light irradiated. Resin composite was bonded to the adherend surface, followed by light irradiation and storage in water at 37 degrees C. Four groups (n = 10) were made per adhesive system: with and without previous acid etching and with and without thermal cycling between 5 degrees C and 55 degrees C for 10,000 cycles. Specimens were tested in a shear mode at a crosshead speed of 1.0 mm/min. Two-way ANOVA and Tukey HSD test at a level of 0.05 were performed. The changes in dentin bond strengths were different among the adhesive systems tested. In all experimental conditions of this study, the dentin bond strength decreased or remained unchanged with previous acid etching. From the results of this study, previous acid etching might not be acceptable for increasing dentin bond strength of the single-step self-etch adhesive systems.