Radiotherapy impairs adhesive bonding in permanent teeth.

OBJECTIVES: To evaluate the in vitro effects of radiotherapy (RT) on the morphological surface of the enamel and dentin and to determine the best adhesive system and most appropriate time to restore teeth in head and neck cancer patients. METHODS: Sixty third molars were cut into 120 enamel fragments and 120 dentin fragments and divided into four groups (n = 30): G1 (control): nonirradiated, only restorative procedure; G2: restorative procedure immediately before RT; G3: restorative procedure immediately after RT; and G4: restorative procedure 6 months after RT. Each group was divided into two subgroups: Adper™ Single Bond 2 (SB) and Clearfill SE Bond (CL) based on the material used. After RT and restorative procedures, the specimens were subjected to confocal microscopy and shear bond strength test. Data were analyzed using a two-way ANOVA followed by Tukey's test at a significance level of 5%. RESULTS: Morphological changes were observed in both substrates after a cumulative dose of 40 Gy, and after 60 Gy, the changes were more evident in both substrates. CL had the highest strength values in both substrates (p < 0.05), and G2 had the lowest strength values for the enamel and dentin (p < 0.05). CONCLUSIONS: Based on the in vitro study results, we can conclude that RT substantially changes the morphological surface of enamel and dentin and impairs the bond strength. The Clearfill system yielded better results than Adper Single Bond 2, and restoring teeth before RT resulted in the worst results in both substrates.

A strongly adhesive hemostatic hydrogel for the repair of arterial and heart bleeds.

Uncontrollable bleeding is a major problem in surgical procedures and after major trauma. Existing hemostatic agents poorly control hemorrhaging from traumatic arterial and cardiac wounds because of their weak adhesion to wet and mobile tissues. Here we design a photo-reactive adhesive that mimics the extracellular matrix (ECM) composition. This biomacromolecule-based matrix hydrogel can undergo rapid gelling and fixation to adhere and seal bleeding arteries and cardiac walls after UV light irradiation. These repairs can withstand up to 290 mm Hg blood pressure, significantly higher than blood pressures in most clinical settings (systolic BP 60-160 mm Hg). Most importantly, the hydrogel can stop high-pressure bleeding from pig carotid arteries with 4~ 5 mm-long incision wounds and from pig hearts with 6 mm diameter cardiac penetration holes. Treated pigs survived after hemostatic treatments with this hydrogel, which is well-tolerated and appears to offer significant clinical advantage as a traumatic wound sealant.

Synchrotron FTIR Micro-spectroscopy Studies Demonstrate the Release of Ceramide Molecules from a Ceramide-containing UV-curable Acrylic Adhesive Resin.

A recent study has shown that the addition of ceramide to adhesive materials of medical sheets or tapes improves or maintains skin barrier functions despite the irritation and damage caused by the repeated removal of the sheet or tape. This fact may imply that ceramide molecules are released from the adhesive material and penetrate the skin. In this study, we investigated whether ceramide molecules are released from a UV-curable acrylic adhesive resin (acResin®) sheet containing ceramide molecules attached to a cultured skin sample by estimating the local ceramide concentration from the data obtained by synchrotron Fourier transform infrared micro-spectroscopy analysis. Since section samples of uniform thickness could not be prepared, the intensity data of the amide I peak originating from ceramide were normalized by using the intensity data of the ester peak originating from the resin matrix. This analysis enabled the quantification of the change in local ceramide concentrations in the sheet samples. This result indicates that ceramide molecules were released from the acResin® sheet attached to the cultured skin sheet.

Photoactivatable Mussel-Based Underwater Adhesive Proteins by an Expanded Genetic Code.

Marine mussels exhibit potent underwater adhesion abilities under hostile conditions by employing 3,4-dihydroxyphenylalanine (DOPA)-rich mussel adhesive proteins (MAPs). However, their recombinant production is a major biotechnological challenge. Herein, a novel strategy based on genetic code expansion has been developed by engineering efficient aminoacyl-transfer RNA synthetases (aaRSs) for the photocaged noncanonical amino acid ortho-nitrobenzyl DOPA (ONB-DOPA). The engineered ONB-DOPARS enables in vivo production of MAP type 5 site-specifically equipped with multiple instances of ONB-DOPA to yield photocaged, spatiotemporally controlled underwater adhesives. Upon exposure to UV light, these proteins feature elevated wet adhesion properties. This concept offers new perspectives for the production of recombinant bioadhesives.

The effect of Er:YAG laser irradiation on the bond stability of self-etch adhesives at different dentin depths.

The aim of this study was to evaluate the effect of Er:YAG laser irradiation on the micro-shear bond strength of self-etch adhesives to the superficial dentin and the deep dentin before and after thermocycling. Superficial dentin and deep dentin surfaces were prepared by flattening of the occlusal surfaces of extracted human third molars. The deep or superficial dentin specimens were randomized into three groups according to the following surface treatments: group I (control group), group II (Er:YAG laser; 1.2 W), and group III (Er:YAG laser; 0.5 W). Clearfil SE Bond or Clearfil S3 Bond was applied to each group's dentin surfaces. After construction of the composite blocks on the dentin surface, the micro-shear bond testing of each adhesive was performed at 24 h or after 15,000 thermal cycles. The data were analyzed using a univariate analysis of variance and Tukey's test (p < 0.05). Laser irradiation in superficial dentin did not significantly affect bond strength after thermocycling (p > 0.05). However, deep-dentin specimens irradiated with laser showed significantly higher bond strengths than did control specimens after thermocycling (p < 0.05). Thermocycling led to significant deterioration in the bond strengths of all deep-dentin groups. The stable bond strength after thermocycling was measured for all of the superficial-dentin groups. No significant difference was found between the 0.5 and 1.2 W output power settings. In conclusion, the effect of laser irradiation on the bond strength of self-etch adhesives may be altered by the dentin depth. Regardless of the applied surface treatment, deep dentin showed significant bond degradation.

Effect of laser preparation on adhesion of a self-adhesive flowable composite resin to primary teeth.

The aim of the study was to evaluate the adhesion of a self-adhering flowable composite resin to primary tooth enamel and dentin after silicon carbide paper (SiC) and laser pretreatment. Adhesive properties were evaluated as shear bond strength (SBS) and scanning electron microscopic (SEM) characteristics. A total 120 primary canine teeth were randomly divided into two groups to study enamel and dentin. Each group was divided into 6 subgroups (n = 10) according to type of surface preparation (SiC or Er:YAG laser) of enamel or dentin. Three methods were used to build cylinders of restoration on tooth surface: OptiBond All-In-One + Premise Flowable composite, OptiBond All-In-One + Vertise Flow and Vertise flow. After restoration, samples were tested for SBS and failure mode. Twenty eight samples were examined by SEM. The results of the study showed SBS of Vertise Flow was lower than others in enamel and dentin samples pretreated with SiC and in dentin samples pretreated with laser (P < 0.001). Compared to SiC pretreatment, laser pretreatment led to a significantly higher SBS with Vertise Flow on enamel (P < 0.001). Vertise Flow associated with the adhesive led to a higher SBS in enamel and dentin compared to Vertise Flow alone. Adhesive and mixed failure modes were observed more frequently in Vertise Flow groups. SEM images showed that Vertise Flow led to more irregularities on enamel and more open dentinal tubules after laser ablation compared SiC pretreatment.

Effect of light aging on silicone-resin bond strength in maxillofacial prostheses.

PURPOSE: The aim of this study was to investigate the effect of accelerated light aging on bond strength of a silicone elastomer to three types of denture resin. MATERIALS AND METHODS: A total of 60 single lap joint specimens were fabricated with auto-, heat-, and photopolymerized (n = 20) resins. An addition-type silicone elastomer (Episil-E) was bonded to resins treated with the same primer (A330-G). Thirty specimens served as controls and were tested after 24 hours, and the remaining were aged under accelerated exposure to daylight for 546 hours (irradiance 765 W/m(2) ). Lap shear joint tests were performed to evaluate bond strength at 50 mm/min crosshead speed. Two-way ANOVA and Tukey's test were carried out to detect statistical significance (p < 0.05). RESULTS: ANOVA showed that the main effect of light aging was the most important factor determining the shear bond strength. The mean bond strength values ranged from 0.096 to 0.136 MPa. The highest values were recorded for auto- (0.131 MPa) and photopolymerized (0.136 MPa) resins after aging. CONCLUSIONS: Accelerated light aging for 546 hours affects the bond strength of an addition-type silicone elastomer to three different denture resins. The bond strength significantly increased after aging for photo- and autopolymerized resins. All the bonds failed adhesively.

Assessing the impact of synchrotron X-ray irradiation on proteinaceous specimens at macro and molecular levels.

Synchrotron radiation (SR) has become a preferred technique for the analysis of a wide range of archeological samples, artwork, and museum specimens. While SR is called a nondestructive technique, its effect on proteinaceous specimens has not been fully investigated at the molecular level. To investigate the molecular level effects of synchrotron X-ray on proteinaceous specimens, we propose a methodology where four variables are considered: (1) type of specimen: samples ranging from amino acids to proteinaceous objects such as silk, wool, parchment, and rabbit skin glue were irradiated; (2) synchrotron X-ray energy; (3) beam intensity; (4) irradiation time. Irradiated specimens were examined for both macroscopic and molecular effects. At macroscopic levels, color change, brittleness, and solubility enhancement were observed for several samples within 100 s of irradiation. At molecular levels, the method allowed one to quantify significant amino acid modifications. Aspartic acid (Asp), wool, parchment, and rabbit skin glue showed a significant increase in Asp racemization upon increasing irradiation time with rabbit skin glue showing the greatest increase in d-Asp formation. In contrast, Asp in silk, pure cystine (dimer of cysteine), and asparagine (Asn) did not show signs of racemization at the irradiation times studied; however, the latter two compounds showed significant signs of decomposition. Parchment and rabbit skin glue exhibited racemization of Asp, as well as racemization of isoleucine (Ile) and phenylalanine (Phe) after 100 s of irradiation with a focused beam. Under the experimental conditions and sample type and dimensions used here, more change was observed for focused and low energy (8 keV) beams than unfocused or higher energy (22 keV) beams. These results allow quantification of the change induced at the molecular level on proteinaceous specimens by synchrotron X-ray radiation and help to define accurate thresholds to minimize the probability of damage occurring to cultural heritage specimens. For most samples, damage was usually observed in the 1-10 s time scale, which is about an order of magnitude longer than SR studies of cultural heritage under X-ray fluorescence (XRF) mode; however, it is consistent with the duration of X-ray absorption spectroscopy (XAS) and microcomputed tomography (µCT) measurements.

Low-temperature, simple and fast integration technique of microfluidic chips by using a UV-curable adhesive.

In the fields of MicroElectroMechanical Systems (MEMS) and Lab On a Chip (LOC), a device is often fabricated using diverse substrates which are processed separately and finally assembled together using a bonding process to yield the final device. Here we describe and demonstrate a novel straightforward, rapid and low-temperature bonding technique for the assembly of complete microfluidic devices, at the chip level, by employing an intermediate layer of gluing material. This technique is applicable to a great variety of materials (e.g., glass, SU-8, parylene, UV-curable adhesive) as demonstrated here when using NOA 81 as gluing material. Bonding is firstly characterized in terms of homogeneity and thickness of the gluing layer. Following this, we verified the resistance of the adhesive layer to various organic solvents, acids, bases and conventional buffers. Finally, the assembled devices are successfully utilized for fluidic experiments.

Liquid-phase packaging of a glucose oxidase solution with parylene direct encapsulation and an ultraviolet curing adhesive cover for glucose sensors.

We have developed a package for disposable glucose sensor chips using Parylene encapsulation of a glucose oxidase solution in the liquid phase and a cover structure made of an ultraviolet (UV) curable adhesive. Parylene was directly deposited onto a small volume (1 µL) of glucose oxidase solution through chemical vapor deposition. The cover and reaction chamber were constructed on Parylene film using a UV-curable adhesive and photolithography. The package was processed at room temperature to avoid denaturation of the glucose oxidase. The glucose oxidase solution was encapsulated and unsealed. Glucose sensing was demonstrated using standard amperometric detection at glucose concentrations between 0.1 and 100 mM, which covers the glucose concentration range of diabetic patients. Our proposed Parylene encapsulation and UV-adhesive cover form a liquid phase glucose-oxidase package that has the advantages of room temperature processing and direct liquid encapsulation of a small volume solution without use of conventional solidifying chemicals.

Adhesive procedures in daily practice: essential aspects.

Adhesive procedures are essential to most restorative protocols used in modern dentistry. Increasing demand and constant interest in new products have stimulated dental manufacturers to produce new adhesive systems and marketing campaigns that announce fast and easy bonding. However, laboratorial and clinical studies show that, usually, ease of application of an adhesive system does not relate to its competence in creating a quality, long-term adhesive interface. This article will present relevant data from the scientific literature to help clinicians understand quality adhesion and achieve excellent results with the current adhesion systems.

Erbium, chromium:yttrium scandium gallium garnet laser for caries removal: influence on bonding of a self-etching adhesive system.

This study evaluated the influence of the dental substrates obtained after the use of different caries removal techniques on bonding of a self-etching system. Forty, extracted, carious, human molars were ground to expose flat surfaces containing caries-infected dentine surrounded by sound dentine. The caries lesions of the specimens were removed or not (control--G1) either by round steel burs and water-cooled, low speed, handpiece (G2), or by irradiation with an erbium, chromium:yttrium scandium gallium garnet (Er,Cr:YSGG) laser (2W, 20 Hz, 35.38 J/cm(2), fiber G4 handpiece with 0.2826 mm(2), non-contact mode at a 2 mm distance, 70% air/20% water--G3) or using a chemo-mechanical method (Carisolv--G4). Caries-infected, caries-affected and sound dentines were submitted to a bonding system followed by construction of a resin-based composite crown. Hour-glass shaped samples were obtained and submitted to a micro-tensile bond test. The bond strength data were compared by analysis of variance (ANOVA), complemented by Tukey's test (P

Degree of conversion of adhesive systems light-cured by LED and halogen light.

This study evaluated the effect of blue light emitting diode (LED) and quartz tungsten halogen (QTH) on the degree of conversion (DC) of an etch-and-rinse Single Bond adhesive system (SB) and a mixture composed of primer solution and resin bond from Clearfil SE Bond self-etching adhesive system (CB) using Fourier transform infrared analysis (FTIR). Adhesives were applied to potassium bromide pellet surfaces and FTIR analyses were performed before and after photo-activation for 10 s with either LED (Freelight 1 - 400 mw/cm(2)) or QTH (XL 3000 - 630 mw/cm(2)) light-curing units (n=8). Additional FTIR spectra were obtained from photo-activated samples stored in distilled water for 1 week. The DC was calculated by comparing the spectra obtained from adhesive resins before and after photo-activation. The results were analyzed by two-way split-plot ANOVA and Tukey's test (p<0.05). Both adhesive systems exhibited low DC (%) immediately after photo-activation (SB/QTH: 18.7 +/- 3.9; SB/LED: 13.5 +/- 3.3; CF/QTH: 13.6 +/- 1.9; CF/LED: 6.1 +/- 1.0). The DC of samples light-cured with LED was lower than DC of those light-cured with QTH, immediately after light curing and after 1 week (SB/QTH: 51.3 +/- 6.6; SB/LED: 50.3 +/- 4.8; CF/QTH: 56.5 +/- 2.9; CF/LED: 49.2 +/- 4.9). The LED curing unit used to photo-activate the adhesive resins promoted lower DC than the QTH curing unit both immediately after light curing and 1 week after storage in water.

The effect of a light-emitting diode on shear bond strength of ceramic brackets bonded to feldspathic porcelain with different curing times.

The aim of this study was to evaluate different curing times of a light-emitting diode (LED) unit on shear bond strength (SBS) of ceramic brackets bonded to feldspathic porcelain. Ceramic brackets were bonded with a light-cured adhesive to 96 feldspathic porcelain facets. Air-borne particle abrasion was performed using 25 mum aluminium trioxide (Al(2)O(3)) with an air abrasion device from a distance of approximately 10 mm at a pressure of 2.5 bars for 4 seconds, then the porcelain surfaces were etched with 9.6 per cent hydrofluoric acid for 2 minutes. After surface preparation of the porcelain specimens, silane was applied. In groups 1 and 2, the adhesive was cured with a quartz-tungsten-halogen (QTH) unit for 10 and 20 seconds, respectively. The LED was used in the standard mode for 3, 5, and 10 seconds for groups 3, 4, and 5, respectively. For the other three groups, the LED was used in the fast mode for 3, 5, and 10 seconds, respectively. The SBS of the brackets was measured on a universal testing machine. The adhesive remnant index (ARI) scores, damage to the porcelain, and fracture of the ceramic bracket bases were determined. No significant differences were observed for SBS between the eight groups (P=0.087). There was no significant difference between the groups' ARI scores, porcelain damage, and bracket base fracture (P=0.340, P=0.985, and P=0.340, respectively). There was a greater frequency of ARI scores of 0 for all groups. Fifty per cent of the porcelain facets displayed damage. Nineteen ceramic bracket base fractures were observed. No significant difference was found for the SBS of the groups with QTH and LED units and curing times. It is reliable to use LED with a 3-second curing time since it provided adequate bond strength for ceramic brackets bonded to porcelain surfaces.

Experimental dental bio-adhesives for direct restorations: the influence of PMnEDM homologs structure on bond strength.

OBJECTIVES: The purpose of this study was to evaluate the effect of PMnEDM dental monomer homologs chemical structure on shear bond strength between polymer-based composite and alloy. METHODS: Four light-cured experimental universal dental bio-adhesives (group codes: A (PMDM), B (PM2EDM), C (PM3EDM), D (PM4EDM)) were preliminarily evaluated with respect to sensitivity to ambient light, curing time, depth of cure, and uncured film thickness according to standardized procedures. Appropriate tests were performed to measure shear bond strength (SBS) of polymer-based composite to cobalt-based alloy with the use of the adhesives investigated. Variability of results was evaluated by use of the coefficient of variation (CV). Results were estimated with the aid of one-way analysis of variance (ANOVA), performed on the logarithmic values, with alpha=0.05 significance level. RESULTS: All materials passed the requirements according to physicochemical properties. Except for formulation D, all results estimating SBS were positive with respect to standardized requirements. The uppermost mean SBS was achieved for the A adhesive (11.45 MPa) and appeared to be significantly different compared to D one (5.07 MPa) (p=0.0495). Also the B adhesive, having slightly lower mean SBS value (10.50 MPa) exhibited a significant difference in respect to D one (p=0.0455). The means for other trial pairs did not differ statistically. SIGNIFICANCE: The materials here studied might be considered to have a practical use in dental clinics, especially the formulations B and C.

The effects of cavity size and incremental technique on micro-tensile bond strength of resin composite in Class I cavities.

OBJECTIVE: The purpose of this study was to investigate if incremental-filling technique and cavity size would affect the bond strength of resin composite. METHODS: Two sizes of Class I cavities were prepared in bovine dentin (large cavities: pi x (5/2)2 x 5 mm3; small cavity: pi x (3/2)2 x 3 mm3). Light-cure resin composite (Clearfil Photocore) with a self-etching primer adhesive (Clearfil SE Bond) was placed into the cavities by bulk filling (C-factor=5) or incremental filling (two layers, C-factor=3) and light-cured. As a control, 3 or 5mm thick resin composite was bonded to the flat dentin surface. After 24h storage in 37 degrees C water, the micro-tensile bond strength was measured at a crosshead speed of 1mm/min. The results obtained were statistically analyzed using two-way ANOVA and t-test at a significance level of P=0.05. RESULTS: The results obtained showed that there was no significant difference among the filling techniques in small cavities (P>0.05). However, in large cavities, bulk filling presented the lowest bond strength (P<0.05). SIGNIFICANCE: Not only the filling technique affected the bonding strength to the cavity floor, but the cavity size was also an influential factor in Class I cavities.

Polymerization kinetics of dental adhesives cured with LED: correlation between extent of conversion and permeability.

OBJECTIVES: The aim of this study was to analyze the polymerization kinetics of different adhesive films in relation to their permeability after exposure to different LED curing units. METHODS: One adhesive from each class was analyzed: a three-step etch-and-rinse (OptiBond FL; Sybron-Kerr), a two-step etch-and-rinse (One-Step, Bisco), a two-step self-etch (Clearfil Protect Bond, Kuraray) and a one-step self-etch adhesive (Xeno III; Dentsply DeTrey). Adhesive films were prepared and cured with SmartLite IQ (Dentsply) or L.E. Demetron I (Demetron Kerr) up to complete curing. Polymerization kinetic curves of the tested adhesives were obtained with differential scanning calorimetry (DSC). In particular, total reaction time and extent of polymerization (Ep) at 20, 40 or 60s were compared. Permeability of the adhesive films was evaluated on flat dentin surfaces of human extracted teeth connected to a permeability device and statistically analyzed. RESULTS: Total reaction time differed among the adhesives tested: OptiBond FL

Degree of conversion of adhesive systems light-cured by LED and halogen light

This study evaluated the effect of blue light emitting diode (LED) and quartz tungsten halogen (QTH) on the degree of conversion (DC) of an etch-and-rinse Single Bond adhesive system (SB) and a mixture composed of primer solution and resin bond from Clearfil SE Bond self-etching adhesive system (CB) using Fourier transform infrared analysis (FTIR). Adhesives were applied to potassium bromide pellet surfaces and FTIR analyses were performed before and after photo-activation for 10 s with either LED (Freelight 1 - 400 mw/cm²) or QTH (XL 3000 - 630 mw/cm²) light-curing units (n=8). Additional FTIR spectra were obtained from photo-activated samples stored in distilled water for 1 week. The DC was calculated by comparing the spectra obtained from adhesive resins before and after photo-activation. The results were analyzed by two-way split-plot ANOVA and Tukey's test (p<0.05). Both adhesive systems exhibited low DC ( percent) immediately after photo-activation (SB/QTH: 18.7 ± 3.9; SB/LED: 13.5 ± 3.3; CF/QTH: 13.6 ± 1.9; CF/LED: 6.1 ± 1.0). The DC of samples light-cured with LED was lower than DC of those light-cured with QTH, immediately after light curing and after 1 week (SB/QTH: 51.3 ± 6.6; SB/LED: 50.3 ± 4.8; CF/QTH: 56.5 ± 2.9; CF/LED: 49.2 ± 4.9). The LED curing unit used to photo-activate the adhesive resins promoted lower DC than the QTH curing unit both immediately after light curing and 1 week after storage in water.

Este estudo avaliou a influência de sistemas de fotoativação no grau de conversão (GC) de sistemas adesivos por meio da análise infravermelha transformada de Fourier (FTIR). Os sistemas adesivos Single Bond (SB) e Clearfil SE Bond (CF) foram aplicados em pastilhas de brometo de potássio e fotoativados com luz halógena (XL 3000 - 630 mw/cm²) (QTH) e LED (Elipar Freelight 1 - 400 mw/cm²) por 10 s (n=8). Foram obtidos espectros de FTIR antes e imediatamente após a fotoativação, e tambem após 1 semana de armazenamento em água destilada. Calculou-se o GC comparando-se a razão entre os picos das bandas dos espectros, antes e após a fotoativação. Os resultados de GC foram submetidos à ANOVA e ao teste de Tukey (p<0,05). Para ambos os sistemas adesivos, o GC ( por cento) obtido imediatamente após a fotoativação com LED foi inferior ao obtido utilizando-se QTH (SB/QTH: 18,7 ± 3,9; SB/LED: 13,5 ± 3,3; CF/QTH: 13,6 ± 1,9; CF/LED: 6,1 ± 1,0). Após uma semana foi observado um aumento significativo no GC de todos os grupos, porém os valores dos grupos fotoativados com LED mantiveram-se inferiores aos obtidos com QTH (SB/QTH: 51,3 ± 6,6; SB/LED: 50,3 ± 4,8; CF/QTH: 56,5 ± 2,9; CF/LED: 49,2 ± 4,9). O GC dos adesivos fotoativados com LED foi inferior ao observado após fotoativação com QTH, imediatamente após fotoativação como após 1 semana de armazenamento em água.

Comparison of bond strength between orthodontic brackets bonded with halogen and plasma arc curing lights: an in-vitro and in-vivo study.

INTRODUCTION: This study assessed in-vitro shear bond strength and in-vivo survival rate of orthodontic brackets bonded with either a halogen or a plasma arc light. METHODS: Ninety extracted premolars were divided into 6 groups of 15. Stainless steel brackets were bonded to the teeth by using either a halogen light with a 20-second curing time or a plasma arc light with a 2-, 6-, or 10-second curing time. Brackets were debonded either within 30 minutes of bonding or after thermocycling for 24 hours. Bond strengths were tested on a testing machine at a crosshead speed of 1 mm/minute. The bracket failure interface was measured with a modified adhesive remnant index score. Data were analyzed by using ANOVA and Tukey-Kramer multiple comparison tests. For the in-vivo study, a split-arch design was used to determine the bracket-failure rate and distribution in 25 patients. The patients were followed for a mean period of 1.1 years (386 days). Survival analysis was carried out to compare the failure rates of the 2 techniques. RESULTS: No significant differences in bond strengths were found 30 minutes after bonding between the halogen light (13.6 +/- 3.8 MPa) and the plasma arc light with 2-, 6-, or 10-second curing times (9.6 +/- 2.9, 14.2 +/- 4.6, 16.0 +/- 3.0 MPa, respectively). Similar bond strengths were also found between the halogen light with a 20-second (16.1 +/- 3.6 MPa) curing time and plasma arc light with 6 seconds (18.2 +/- 4.6 MPa) of curing time after 24 hours of thermocycling. For the in-vivo study, no significant difference was found in bracket failure rates between the 2 light sources (4.9% in both groups). No significant differences were found between ARI scores for the halogen light and the plasma arc light at either 30 minutes or 24 hours after debonding. CONCLUSIONS: These results indicate that the plasma arc light with a 6-second curing time can produce similar bond strength and bracket-failure rates as the halogen light that requires a longer curing time.

Degree of conversion and permeability of dental adhesives.

The aim of this study was to analyse the extent of polymerization of different adhesive films in relation to their permeability. One adhesive of each class was investigated: OptiBond FL; One-Step; Clearfil Protect Bond; and Xeno III. Adhesive films were prepared and cured with XL-2500 (3M ESPE) for 20, 40 or 60 s. Polymerization kinetic curves of the adhesives tested were obtained with differential scanning calorimetry (DSC) and data were correlated with microhardness. The permeability of the adhesives under the same experimental conditions was evaluated on human extracted teeth connected to a permeability device and analysed statistically. The results showed that the extent of polymerization obtained from DSC exotherms was directly correlated with microhardness. An increased level of polymerization after prolonged light-curing was confirmed for all adhesives. Simplified adhesives exhibited a lower extent of polymerization and showed incomplete polymerization, even after 60 s. An inverse correlation was found between the degree of cure and the permeability. This study supports the hypothesis that the permeability of simplified adhesives is correlated with incomplete polymerization of resin monomers and the extent of light exposure. These adhesives may be rendered less permeable by using longer curing times than those recommended by the respective manufacturer.