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BACKGROUND: There have been numerous researches on ozone application in dentistry; yet the data regarding its whitening effect is very limited. The present study compares the bleaching effect of ozone with office bleaching. MATERIALS AND METHODS: In this experimental study, 15 maxillary premolar teeth were selected and sectioned mesio-distally and bucco-lingually. The sections were then placed in tea for 1 week according to the Sulieman method and were divided into three groups each comprised of 15 sections. The samples were bleached as followed; Group I: Bleached with 35% hydrogen peroxide in three intervals of 8 min each, Group II: Underwent ozone treatment using Ozotop unite for 4 min and Group III: Bleached with a combination of both methods. The color indices of the samples, i.e., (a) green-red pigment, (b) blue-yellow pigment, (L) brightness, (ΔE) overall color change, were evaluated pre- and post-bleaching utilizing a digital camera, Photoshop software and CIE lab index. The color changes of specimens then were calculated and analyzed through randomized analysis of variance and Tukey tests. P < 0.001 was considered to be significant. RESULTS: The color change (ΔE) in Group II was significantly lower than those in the two other groups (P < 0.001). There was no significant difference between the color change of Groups I and III (P = 0.639). In addition, the results of L, a and b brought forth a similar pattern to the findings obtained from ΔE. CONCLUSION: The hydrogen peroxide gel has a more powerful whitening effect than ozone; in addition, ozone has no synergistic effect when is used simultaneously with hydrogen peroxide.
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INTRODUCTION: This in vitro study evaluated the influence of composite thickness (with or without fiber reinforcement) on fracture resistance of direct restorations in endodontically treated teeth. METHODS AND MATERIALS: Fifty-six intact human premolars were chosen and randomly divided into four groups (n=14). After preparation of a mesio-occluso-distal (MOD) cavities and cusp reduction, the teeth were endodontically treated. Subsequently, the samples were restored with composite resin using the following protocols: group 1; composite onlay with cusp coverage of 1.5 mm, group 2; composite onlay with cusp coverage of 2.5 mm, group 3; composite onlay (including resin-impregnated fiber) with cusp coverage of 1.5 mm and group 4; composite onlay (including resin-impregnated fiber) with cusp coverage of 2.5 mm. The fracture resistance of teeth in all test groups was calculated by subjecting them to a progressively increasing compressive axial force in the universal testing machine with the cross-head speed of 1 mm/min to the point of fracture. The data were analyzed using the Kruskal-Wallis test. RESULTS: The mean fracture strengths and obtained standard error were 1263.85±74.03 N, 1330.26±128.01 N, 1344.92±64.40 N and 1312.54±75.63 N for groups 1 to 4, respectively. Statistical analysis revealed no significant difference between groups. CONCLUSION: Cusp coverage of 1.5 and 2.5 mm in MOD access cavities with or without insertion of resin impregnated fiber had similar fracture rates in the endodontically treated teeth.
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OBJECTIVE: Tooth fracture is a common dental problem. By extension of cavity dimensions, the remaining tooth structure weakens and occlusal forces may cause tooth fracture. The aim of this study was to evaluate and compare the fracture resistance of teeth restored with direct and indirect composite restorations. MATERIALS AND METHODS: Sixty-five sound maxillary premolar teeth were chosen and randomly divided into five groups each comprising thirteen. Fifty-two teeth received mesio-occluso-distal (MOD) cavities with 4.5mm bucco-lingual width, 4mm pulpal depth and 3mm gingival depth and were divided into the following four groups. G-1: restored with direct composite (Z-250, 3M/ESPE) with cusp coverage, G-2: restored with direct composite (Z-250) without cusp coverage, G-3: restored with direct composite (Gradia, GC-international) with cusp coverage, G-4: restored with indirect composite (Gradia, GC-International) with cusp coverage. Intact teeth were used in G-5 as control. The teeth were subjected to a compressive axial loading using a 4 mm diameter rod in a universal testing machine with 1 mm/min speed. Data were analyzed using one-way ANOVA and Tukey tests. RESULTS: THE MEAN FRACTURE STRENGTH RECORDED WAS: G-1: 1148.46N±262, G-2: 791.54N±235, G-3: 880.00N±123, G-4: 800.00N±187, G-5: 1051.54N±345. ANOVA revealed significant differences between groups (p<0.05). Tukey test showed significant difference between group 1 and the other groups. There was no significant difference among other groups. CONCLUSION: Direct composite (Z-250) with cusp coverage is a desirable treatment for weakened teeth. Treatment with Z-250 without cusp coverage, direct and indirect Gradia with cusp coverage restored the strength of the teeth to the level of intact teeth.
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Aim: This study evaluated the effect of varying the powder/liquid (P/L) ratio on the shear bond to dentin (SBS) and flexural strength (FS) of glass ionomer cements (GIC)s. Methods: Three types of GICs (Fuji II, Fuji II LCi and Fuji IX GP) were mixed using the following P/L ratios: 20% lower than the manufacturer's ratio, manufacturer's ratio, 20% higher than the manufacturer's ratio (9 groups). SBS (MPa) was evaluated and the mode of failure checked under stereomicroscope. FS (MPa), of the specimens (25×2×2mm) assessed using a universal testing machine at a crosshead speed of 1 mm/min. The data were subjected to two-way ANOVA and Tukey's test for analysis (p< 0.05). Results: The highest SBS and FS (MPa) obtained for Fuji II, Fuji II LCi and Fuji IX were 6.12±2.11 and 16.96±2.73; 11.60±3.19 and 49.58±8.75; 7.39±2.77 and 20.32±2.09, respectively. The interaction between materials and P/L ratios had no significant effect on the properties tested in this study. Fuji II LCi exhibited significantly higher SBS and FS than the other two GICs in all P/L ratios. Conclusions: No significant differences were observed between Fuji II and Fuji IX. Twenty percent variation in P/L ratio had no significant effect on SBS and FS of GICs.
