Effect of bioactive glass-containing dentin adhesives on microshear bond strength of composite restorations.

Background: In general, bioactive glasses (BAGs) can react with tissue minerals and promote remineralization. However, the application of BAG in bonding agents and its impact on bond strength remain uncertain due to insufficient information and limited research in this area. Materials and Methods: This study employed a randomized controlled design to assess the effects of composite-bonding agents with varying BAG contents on shear bond strength and fracture pattern in sound and demineralized teeth, with and without thermocycling. Thus, 80 healthy third molars were randomly divided into two groups: sound teeth and demineralized teeth. Five bonding agents were applied to the prepared dentin surfaces, including four experimental composite-bonding agents with varying BAG content (0, 0.2, 0.5, and 2 wt%) and the Adper Single Bond commercial bonding as control. The shear bond strength of all samples was measured using a universal tester. The type of failure of each specimen was determined using a stereomicroscope. Kruskal-Wallis nonparametric test was performed on the obtained shear bond strength data followed by Mann-Whitney post hoc test with Bonferroni correction to determine statistical significance. The level of significance was considered P ≤ 0.05 for all tests and was adjusted by Bonferroni correction. Results: Demineralization significantly decreased shear bond strength in the teeth samples. Adper Single Bond exhibited the highest shear bond strength values. The addition of BAG did not have a significant influence on shear bond strength, regardless of demineralization or thermocycling condition. Adhesive failure was the predominant type of failure in all groups. Conclusion: The incorporation of BAG filler up to 2 wt% did not result in significant changes in shear bond strength. Experimental adhesive bonding agents with 2 wt% BAG content demonstrated shear bond strengths comparable to the commercial bonding agent in sound nontreated, sound thermocycled, demineralized nontreated, and demineralized thermocycled groups.

Thermal rise during photopolymerization and degree of conversion of bulk fill and conventional resin composites.

BACKGROUND: Light curing of resin composite is associated with a thermal rise that may have harmful effect on the health of the vital pulp. In addition, desirable polymerization is important to achieve mechanical properties and clinical function. The purpose of this in-vitro study was to compare the thermal rise under normal dentin during photopolymerization and degree of conversion (DC) of bulk fill and conventional resin composite using continuous high- and soft-start mode. MATERIALS AND METHODS: In this in-vitro study, Cl I cavities with a dimension of 4 mm × 4 mm × 4 mm and remaining dentin thickness of 1 mm were prepared on 56 extracted human molars. The temperature rise during the light curing of conventional resin composite (Tetric N Ceram, Ivoclar Vivadent) by incremental filling technique and bulk-fill resin composite (Tetric N Ceram Bulk Fill, Ivoclar Vivadent) by bulk-filling technique were measured with a K-type thermocouple wire. DC of both resin composites was measured using Fourier-transform infrared spectroscopy. Data were analyzed using one-way ANOVA, Tamhane and Duncan post hoc, two-way ANOVA at the significance level of α = 0.05. RESULTS: Photopolymerization temperature rise due to soft start mode and the first layer of conventional composite was higher than continuous high mode and bulk-filling technique, respectively (P < 0.001). DC of conventional resin composite was higher than bulk-fill composite (P < 0.001). CONCLUSION: Soft-start mode produced higher thermal rise than continuous high mode and conventional resin composite showed higher DC than bulk-fill composite.

Evaluation of Enamel and Dentinal Microleakage in Class II Silorane-Based and Methacrylate-Based Resin Composite Restorations Using Specific and Nonspecific Adhesives.

OBJECTIVES: The aim of this study was to evaluate enamel and dentinal microleakage in Class II cavities restored with silorane- and methacrylate-based resin composites using specific and nonspecific adhesives. MATERIALS AND METHODS: Thirty-six caries-free human premolars were used. Two Class II cavities were prepared on each tooth. The gingival floor was set at 1 mm above (on the mesial surface) and at 1 mm below (on the distal surface) the cementoenamel junction (CEJ). The samples were randomly divided into four groups, and the cavities were restored with a methacrylate-based composite (Filtek™ P60) and a silorane-based composite (Filtek™ P90) with specific and nonspecific adhesives. Microleakage was tested using a standardized dye penetration method. All samples were examined under a stereomicroscope, and microleakage scores were statistically analyzed using Kruskal-Wallis and Mann-Whitney-U tests. One sample from each group was examined under a scanning electron microscope (SEM) to determine the bonding area. RESULTS: No significant difference was found between the groups in terms of the enamel microleakage (P=0.086). There was a significant difference between the groups with regard to dentinal microleakage (P=0.003). No significant reduction in microleakage was observed in groups restored with Filtek™ P90 composite using its specific adhesive compared to those restored with Filtek™ P60 composite using its specific adhesive (P=0.626). CONCLUSIONS: The results indicated that the application of methacrylate- and silorane-based composites with specific or nonspecific adhesives had no impact on enamel microleakage, but it affected dentinal microleakage, and specific adhesives showed less microleakage. It seems that a phosphate-methacrylate-based intermediate resin is required to bond dimethacrylate adhesive to silorane-based composites.

The effect of acrylate-based dental adhesive solvent content on microleakage in composite restorations.

BACKGROUND: This study aimed to evaluate the effect of different percentages of ethanol solvent of an experimental methacrylate-based dentin bonding agent containing polyhedral oligomeric silsesquioxanes (POSS) on the microleakage of resin composite restorations. MATERIALS AND METHODS: In this experimental study, 42 extracted human premolar teeth used and 84 standard Class V cavities were prepared on the buccal and lingual surfaces of the teeth. The teeth were divided into 6 groups of 7. Experimental bonding agents with different percentages of solvent were used in 5 groups and Single Bond® as a control. The teeth were restored with resin composite and subjected to thermal cycling test. Teeth were then immersed in a solution of 2% basic fuchsine dye for 24 h and sectioned buccolingually and scored using stereomicroscope with ×32 magnification. Microleakage data were analyzed using the Kruskal-Wallis, Mann-Whitney U, and Wilcoxon tests. RESULTS: There were significant differences between the microleakage enamel margins (P = 0.036) and dentinal margins (P = 0.008) in all the groups. These significant differences were seen between the control group and groups containing 46 wt% solvent (P = 0.011), 46 wt% and 31 wt% solvent in dentinal (P = 0.027), 31 wt% and 0 wt% in enamel (P = 0.021), also 0 wt% and control in enamel (P = 0.039), and dentinal margins microleakage (P = 0.004). The microleakage in dentinal margins was higher than enamel margins (P < 0.001). In the groups with 46 wt% solvent (P = 0.103), 0 wt% (P = 0.122), and control group (P = 0.096), however, this difference was not significant. CONCLUSION: The adhesive containing 31 wt% solvent showed the least marginal microleakage, presence of POSS filler may also result in the reduction of microleakage.

Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units.

OBJECTIVES: Light-curing of resin-based materials (RBMs) increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs) of three different RBMs using quartz tungsten halogen (QTH) and light-emitting diode (LED) units (LCUs). MATERIALS AND METHODS: Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12) during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey), a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE), and a giomer (Beautifil II, Shofu GmbH), was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. RESULTS: The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p < 0.05). Filtek P90 induced higher temperature rise during polymerization than Ceram.X and Beautifil II under demineralized dentin (p < 0.05). The temperature rise under demineralized dentin during Filtek P90 polymerization exceeded the threshold value (5.5℃), with no significant differences between the DCs of the test materials (p > 0.05). CONCLUSIONS: Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

Temperature Rise during Primer, Adhesive, and Composite Resin Photopolymerization of a Low-Shrinkage Composite Resin under Caries-Like Dentin Lesions.

Objective. This study evaluated temperature rise of low-shrinkage (LS) self-etch primer (P), LS self-etch adhesive (A), and P90 silorane-based composite resin systems, photopolymerized under normal and artificially demineralized dentin. Methods. Forty 1.5 mm-thick dentin discs were prepared from sound human molars, half of which were demineralized. Temperature rise was measured during photopolymerization using a K-type thermocouple under the discs: 10 s and 40 s irradiation of the discs (controls/groups 1 and 2); 10 s irradiation of primer (P), 10 s irradiation of adhesive (A), 40 s irradiation of P90 without P and A, and 40 s irradiation of P90 with P and A (groups 3 to 6, resp.). The samples were photopolymerized using an LED unit under 550 mW/cm(2) light intensity. Data was analyzed using repeated measures ANOVA and paired-sample t-test (α = 0.05). Results. There were no significant differences in temperature rise means between the two dentin samples for each irradiation duration (P > 0.0001), with significant differences between the two irradiation durations (P > 0.0001). Temperature rise measured with 40 s irradiation was significantly higher than that of 10 s duration for undemineralized and demineralized dentin P < 0.0001). Conclusions. Light polymerization of P90 low-shrinkage composite resin resulted in temperature rise approaching threshold value under artificially demineralized and undemineralized dentin.

Flexural strength and morphological characteristics of resin-modified glass-ionomer containing bioactive glass.

INTRODUCTION: Recent advances in dental materials have led to the production of smart materials. Recently, addition of bioactive materials to glass-ionomer cements has resulted in new capabilities beyond the beneficial effects of fluoride release. This in vitro study compared the flexural strengths (FS) of a resin-modified glass-ionomer containing bioactive glass (RMGIBAG) with that of a commonly used resin-modified glass-ionomer (RMGI). METHODS AND MATERIALS: A total of forty RMGI and RMGI-BAG bars (20 × 4 × 4 mm) were prepared in stainless steel molds. Each of the RMGI and RMGI-BAG bars was set for FS test. FS values of the specimens were measured using three-point bending test at a crosshead speed of 0.5 mm/min. The surface changes and the amounts of elements on the materials' surfaces were also evaluated by SEM/EDS analyses. Data were analyzed using SPSS 11.5 and t-test (α = 0.05). RESULTS: The means ± SD in the study groups were 61.46 ± 22.52 and 39.90 ± 9.11 MPa respectively. There were significant differences between FS of the two study groups (p = 0.003). CONCLUSION: While adding 20 wt% of BAG to the RMGI powder evaluated in this study decreases FS of the material significantly, the mean value of FS is in the acceptable range of the reported FS values for conventional GIs and RMGIs that are commercially available for clinical use. CLINICAL SIGNIFICANCE: While flexural strength of RMGI decreases subsequent to addition of bioactive glass, it is still clinically acceptable considering the flexural strength values reported for clinically used GIs and RMGIs. Further studies are recommended.

Comparison of Depth of Cure, Hardness and Heat Generation of LED and High Intensity QTH Light Sources.

OBJECTIVES: To compare curing performance of a second generation LED curing light with a high power tungsten quartz halogen (QTH). METHODS: A hybrid composite resin (Filtek Z 250, 3M, USA) was used as test material and cured using a second generation LED light (Translux Power Blue™, Heraus Kulzer ,Germany) or a very high power QTH light unit (EMS, Switzerland). A two split aluminum mold was used to prepare ten samples with LED light source cured for forty seconds and ten samples prepared using high power QTH light unit, cured for four or six seconds recommended exposure time. Hardness, depth of cure (DOC) and thermal rise during exposure time by these light sources were measured. The data submitted to analysis of variance (ANOVA), Tukey's and student's t tests at 5% significance level. RESULTS: Significant differences were found in hardness, DOC of samples cured by above mentioned light sources and also in thermal rises during exposure time. The curing performance of the tested QTH was not as well as the LED light. TPB light source produced the maximum hardness (81.25, 73.29, 65.49,55.83 and 24.53 for 0 mm, 1 mm, 2 mm, 3 mm and 4 mm intervals) and DOC (2.64 mm) values with forty seconds irradiation time and the high power (QTH) the least hardness (73.27, 61.51 and 31.59 for 0 mm, 1 mm and 2 mm, respectively) and DOC (2 mm) values with four seconds irradiation time. Thermal rises during 4 s and 6 s curing time using high power QTH and tested LED were 1.88°C, 3°C and 1.87°C, respectively. CONCLUSIONS: The used high power LED light produced greater hardness and depth of cure during forty seconds exposure time compared to high power QTH light with four or six seconds curing time. Thermal rise during 6 s curing time with QTH was greater compared to thermal changes occurred during 40 s curing time with tested LED light source. There was no difference seen in thermal changes caused by LED light with 40 s and QTH light with 4 s exposure time.

Biocompatibility of composite resins.

Dental materials that are used in dentistry should be harmless to oral tissues, so they should not contain any leachable toxic and diffusible substances that can cause some side effects. Reports about probable biologic hazards, in relation to dental resins, have increased interest to this topic in dentists. The present paper reviews the articles published about biocompatibility of resin-restorative materials specially resin composites and monomers which are mainly based on Bis-GMA and concerns about their degradation and substances which may be segregated into oral cavity.

Fluoride release by glass ionomer cements, compomer and giomer.

BACKGROUND: To measure the amounts of fluoride released from fluoride-containing materials, four glass ionomer cements (Fuji IX, Fuji VII, Fuji IX Extra and Fuji II LC), a compomer (Dyract Extra) and a giomer (Beautifil) were used in this study. METHODS: Twenty cylindrical specimens were prepared from each material. The amount of released fluoride was measured during the first week and on the days 14 and 21 by using specific fluoride electrode and an ionanalyzer. The results were statistically analyzed using analysis of variance (two-way ANOVA) and Tukey Kramer multiple comparison tests (p=0.05). RESULTS: Significant differences were seen in fluoride release of different days and materials (p<0.05). The maximum cumulative fluoride release of days 1-7 was related to Fuji VII, followed by Fuji IX Extra, Fuji II LC, Fuji IX, Dyract Extra and Beautifil in descending order and this order remained the same until the 21(st) day. CONCLUSION: Fuji IX, Fuji VII, Fuji IX Extra, and Fuji II LC released higher amounts of fluoride compared to Beautifil and Dyract Extra in this study. It seems that the extent of the glass ionomer matrix plays an important role in determining the fluoride releasing ability of glass ionomer cement materials.