Composite rebonding to stainless steel metal using different bonding agents.

The purpose of this study was to determine the in vitro bond strengths of composite rebonded to stainless steel crown metal (SS) using five different bonding agents after composite to SS bond failure had been produced. The adhesive systems were applied to the failed bonds following the manufacturers' instructions and, as a control, composite was bonded to SS without using a bonding agent. Each group was then divided into two subgroups: mechanically prepared (MP), in which the SS was roughened by a diamond bur, and unprepared (NMP), in which no modification of the SS was done. ESPE VISIO-GEM composite was placed in a plastic mold and light cured to the treated SS. Samples were stored in water at 37 degrees C for 72 hr, thermocycled for 500 cycles between 5 and 55 degrees C, and mounted in an Instron Universal Testing Machine. Caulk's Adhesive System provided significantly higher rebond strength (228.97 +/- 106.9 kg/cm2) than the other materials, and mechanical surface preparation offered no significant advantages.

Primary incisor decay before age 4 as a risk factor for future dental caries.

The purpose of this investigation was to determine whether early childhood caries (ECC) is a risk factor for future dental caries. One hundred fifteen dental charts of children younger than 4 years of age when initially treated were reviewed and abstracted for primary incisor caries and age at the initial examination, gender, recall dental visits, sealants, and age at the last dental examination. In addition, the number of carious, extracted, and restored teeth (cert/CERT: primary/secondary) at the last examination was determined. Children with ECC at their initial examination (N = 58) had a 93.0% cert rate, a 67.2% CERT rate and a 60.3% CERT in first molars rate by their last dental examination. Non-ECC children at their initial examination (n = 57) had less than half the rate of each cert/CERT parameter (43.9%, 22.8%, and 26.3%, respectively) at their last dental visit. The odds ratios for each cert/CERT parameter posed by ECC status were 17.3 for cert, 7.0 for CERT, and 4.3 for CERT in first molars. When these odds were adjusted for other study parameters by a forward step-wise logistic regression analysis, ECC status continued to be a risk factor for each cert/CERT parameter. We conclude that 1) early childhood caries is a risk factor for future caries, 2) increased age is a risk factor for CERT, and 3) recalls and sealants are protective factors.