Effect of phosphoric acid etching and self-etching primer application methods on dentinal shear bond strength.

PURPOSE: To evaluate acid-etching effects prior to the application of self-etching primer and the effect of different primer application techniques on dentin shear bond strength (SBS). MATERIALS AND METHODS: Forty human third molar cervical regions were used in this study. The teeth were randomly divided into four groups (n=10) of different tooth surface conditions: group A: Clearfil Protect Primer applied gently (inactive) + Clearfil Protect Bond; group B: 38% phosphoric acid for 15 s, rinsed 15 s, and dried 15 s + Clearfil Protect Primer applied gently (inactive) + Clearfil Protect Bond; group C: Clearfil Protect Primer applied with agitation by microapplicator brush (active) + Clearfil Protect Bond; group D: 38% phosphoric acid for 15 s, rinsed 15 s, and dried 15 s + Clearfil Protect Primer applied with agitation by microapplicator brush (active) + Clearfil Protect Bond. The SBS test was performed with a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed with one-way ANOVA and Tukey HSD tests. RESULTS: The mean SBS values (MPa) and standard deviations are as follows: group A: 36.0 +/- 8.3; group B: 24.0 +/- 3.9; group C: 35.0 +/- 3.3; group D: 30.6 +/- 6.7. CONCLUSION: Acid etching decreased the SBS of the self-etching bonding system to dentin. Active primer application increased the SBS only in acid-etched groups.

Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report.

AIM: The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 22-year-old patient with Amelogenesis imperfecta (AI). BACKGROUND: AI is a group of hereditary defects of enamel, unassociated with any other generalized defects. It is a rare developmental abnormality of the enamel, with a variable occurrence of approximately 1:4000 to 1:14000 in Western populations. Al results in poor development or complete absence of the enamel of the teeth caused by improper differentiation of the ameloblasts. REPORT: This report describes the diagnosis and treatment of a young male patient with AI and missing molar teeth using contemporary restorative strategies. Initially, the tooth surfaces were treated with a professional cleaning along with conservative restorative treatment. Later, metal-ceramic crowns for posterior teeth and full-ceramic crowns for anterior teeth were utilized for final restorations. SUMMARY: The complexity of the management of patients with AI supports the suggestion the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. The treatment of patients with AI should start with early diagnosis and intervention to prevent later restorative problems.

Clinical evaluation of posterior composite restorations in endodontically treated teeth.

OBJECTIVE: The purpose of this study was to evaluate the two year clinical performance of posterior composite restorations in endodontically treated premolars and molars using a hybrid composite (Filtek Z-250, 3M ESPE) and a total etch bonding system (Single Bond, 3M ESPE). METHOD AND MATERIALS: Thirty-nine class II restorations in endodontically treated premolars (n=11) and molars (n=28) of 27 patients (14 female, 13 male, mean age 36.51) in 16 maxillar and 23 mandibular teeth were placed by one operator. Restorations were evaluated by two experienced investigators at baseline, 12 months, and 24 months according to the modified United States Public Health Service (USPHS) criteria that included retention, color match, marginal discoloration, secondary caries, anatomic form, marginal adaptation, and surface texture. All restorations were able to be evaluated at baseline, 12 months, and 24 months. RESULTS: Paired samples t-test showed only marginal discoloration showed a statistically significant difference (p<0.05) at the end of 24 months, and no other significant differences were observed for the other variables examined over the duration of the study. None of the restored teeth showed periapical pathology at the end of 24 months. CONCLUSION: At two years, limited deterioration in marginal discoloration was detected. The clinical performance of posterior composite restorations in endodontically treated teeth using Filtek Z250 was found clinically acceptable after two years.