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1.
Clin Oral Investig ; 28(2): 138, 2024 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-38321228

RESUMO

OBJECTIVE: This study aimed to compare the clinical performance of dual- and light-cure bulk-fill resin composites (BFRCs) in Class ӀӀ restorations after 2 years. MATERIALS AND METHODS: A double-blinded, prospective, randomized clinical trial (RCT) was conducted following the CONSORT (Consolidated Standard of Reporting Trials) guidelines. Forty patients were enrolled in the study. Each patient received three compound Class ӀӀ restorations. One dual-cure (Fill-Up; Coltene Waledent AG) and two light-cure (QuiXfil; Dentsply, and Tetric N-Ceram Bulk Fill; Ivoclar Vivadent) BFRCs were used for 120 Class ӀӀ restorations. A universal adhesive (ONE COAT 7 UNIVERSAL; Coltene Waledent AG) was used with all restorations. Restorations were clinically evaluated after 1 week (baseline), 6 months, 12 months, 18 months, and finally after 24 months using the FDI World Dental Federation (FDI) criteria. The Kruskal-Wallis test was used for comparison between BFRCs groups at baseline and at each recall period, and the Wilcoxon signed-rank test was used for comparing different follow-up times of each BFRC to baseline. The level of significance was set at p < 0.05. RESULTS: All BFRCs restorations showed only minor changes and revealed no statistically significant differences between their clinical performance for all evaluated parameters at all recall periods; also, there was no statistically significant difference between all recall periods and baseline for all evaluated parameters. CONCLUSION: The two-year clinical performance of dual-cure BFRC was comparable to light-cure BFRCs in Class ӀӀ restorations. CLINICAL RELEVANCE: Dual- and light-cure BFRCs showed excellent clinical performance in Class ӀӀ restorations after a 2-year clinical follow-up.


Assuntos
Cárie Dentária , Restauração Dentária Permanente , Humanos , Resinas Compostas , Método Duplo-Cego
2.
BMC Oral Health ; 24(1): 1174, 2024 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-39363215

RESUMO

BACKGROUND: The pre-polymerization temperature of resin composite restorative materials could influence their adaptation to cavity details. As a current debate is existing about the refrigeration of resin composite restorative materials, this study was designed to assess the effect of refrigeration of 3 types of resin composite restorative materials with different matrix systems on their marginal adaptation in Class II restorations. METHODS: Forty-two sound maxillary molars, each with two separated Class II cavities, were used in this study. The teeth were assigned into 3 main groups (n = 14) according to the restorative /adhesive system used; an Ormocer-based composite (Admira Fusion/Futurabond M+, Voco GmbH, Cuxhaven, Germany), a methacrylate modified Ormocer-based (Ceram.X SphereTEC One/Prime&Bond Universal, Dentsply Sirona GmbH Konstanz, Germany), and a methacrylate-based (Tetric N-Ceram/Tetric N-Bond Universal, Ivoclar Vivadent AG, Schaan, Liechtenstein). Each group was then divided into 2 subgroups (n = 14) according to the gingival margin location; 1 mm above and 1 mm below the cemento-enamel junction (C.E.J). Each subgroup was further divided into 2 categories (n = 7) according to the storage temperature; stored at room temperature or stored in refrigerator at 4°- 5° C. Epoxy resin replicas were observed under scanning electron microscope (SEM) to examine the marginal gaps. A gab scoring system was used to assess the marginal adaptation of each restoration by giving scores on the basis of measurements of the maximum marginal gaps. The data obtained were statistically analyzed using the Chi-square test at a significance level of p < 0.05. RESULTS: None of the tested groups exhibited 100% gap-free margins irrespective of margin location or storage temperature. For both storage temperatures, no statistically significant difference was observed among all tested groups either with margins located above or below C.E.J (p > 0.05). As well, there was no statistically significant difference when comparing both marginal locations for each material (p > 0.05). Regarding the effect of storage temperature, statistically significant difference was only observed between the room-temperature stored groups with margins located above C.E.J and their corresponding groups stored in refrigerator (p < 0.05). CONCLUSION: The refrigeration of resin composite restorative materials prior to the restorative procedures revealed a deleterious effect on marginal adaptation of the restorations with margins located in enamel regardless the type of material used.


Assuntos
Resinas Compostas , Adaptação Marginal Dentária , Restauração Dentária Permanente , Resinas Compostas/química , Humanos , Refrigeração , Teste de Materiais , Preparo da Cavidade Dentária/classificação , Cerâmicas Modificadas Organicamente , Materiais Dentários/química , Microscopia Eletrônica de Varredura , Dente Molar , Ácidos Polimetacrílicos/química , Metacrilatos , Siloxanas
3.
BMC Oral Health ; 23(1): 57, 2023 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-36721191

RESUMO

BACKGROUND: The pre-cure temperature is considered an important parameter that affects the polymerization kinetics and the properties of composite restoration. As dissension exists about the effect of storing composite restorative materials in refrigerator, this study aimed to assess the effect of shelf-storage temperature on degree of conversion (DC) and microhardness of three composite restorative materials with different matrix systems. METHODS: Three commercially-available composite restorative materials were used in this study; an Ormocer-based composite (Admira Fusion, Voco GmbH), a nanoceramic composite, (Ceram.X SphereTEC One, Dentsply Sirona GmbH), and a nanohybrid composite (Tetric N-Ceram, Ivoclar Vivadent AG). Regarding DC and microhardness tests, 60 disc-shaped composite specimens for each test were randomly divided into 3 groups (n = 20) according to the restorative material used. Each group was divided into 2 subgroups (n = 10) according to the composite storage temperature; stored at room temperature or stored in the refrigerator at 4°-5 °C. DC was evaluated using a Fourier-transform infrared spectrometer coupled to an attenuated total reflectance accessory. Microhardness was evaluated using micro-Vickers hardness tester under a load of 50 g with a dwell time of 10 s. The results were analyzed by ANOVA, post-hoc LSD, and independent t-tests at a significance level of p < 0.05. RESULTS: Regarding DC test all groups showed statistically significant differences at both storage temperature. The Ormocer-based composite had the highest mean values. There was a statistically significant difference between all room-stored groups and their corresponding groups stored at refrigerator (p < 0.05). For microhardness test, all groups exhibited also statistically significant differences at both storage temperatures with the Ormocer-based composite having the highest mean values. A statistically significant difference between both room-stored and refrigerator-stored groups has been observed also (p < 0.05). CONCLUSIONS: Refrigeration of resin-composite might have a deleterious effect on DC and microhardness of the tested composite restorative materials with different matrix systems. Moreover, the differences in the formulations of composite matrix have a potential impact on DC and microhardness.


Assuntos
Materiais Dentários , Dureza , Cerâmicas Modificadas Organicamente , Temperatura
4.
Clin Oral Investig ; 26(5): 3807-3822, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35320383

RESUMO

OBJECTIVE: To evaluate clinical performance of the new CAD/CAM resin-matrix ceramics and compare it with ceramic partial coverage restorations. MATERIALS AND METHODS: An electronic search of 3 databases (The National Library of Medicine (MEDLINE/PubMed), Scopus, and the Cochrane Central Register of Controlled Trials) was conducted. English clinical studies published between 2005 and September 2020 that evaluated the clinical performance of CAD/CAM resin-matrix ceramics inlays, onlays, or overlays were selected. The primary clinical question was applied according to PICOS strategy (Population, Intervention, Comparison, Outcome, Study design). The included studies were individually evaluated for risk of bias according to the modified Cochrane Collaboration tool criteria. RESULTS: A total of 7 studies were included according to the established inclusion and exclusion criteria. From the included studies, 6 were randomized clinical trials while one study was longitudinal observational study without control group. According to the results of the included studies, the success rate of CAD/CAM resin-based composite ranged from 85.7 to 100% whereas the success rate reported for ceramic partial coverage restorations ranged from 93.3 to 100%. Fractures and debondings are found to be the most common cause of restorations failure. CONCLUSION: CAD/CAM resin-based composite can be considered a reliable material for partial coverage restorations with clinical performance similar to glass ceramic restorations. However, this result needs to be confirmed in long-term evaluations. CLINICAL RELEVANCE: CAD/CAM resin-based composites provide a potential alternative to ceramic indirect restorations. However, clinicians must be aware of the lake of knowledge regarding long-term outcome.


Assuntos
Cerâmica , Restaurações Intracoronárias , Resinas Compostas/uso terapêutico , Desenho Assistido por Computador , Materiais Dentários , Porcelana Dentária , Estudos Longitudinais , Estudos Observacionais como Assunto
5.
Am J Dent ; 35(4): 185-190, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35986933

RESUMO

PURPOSE: To evaluate the degree of conversion (DC), Vickers microhardness (VMH), and depth of cure of dual-cure and light-cure bulk-fill resin composites (BFRCs). METHODS: One dual-cure (Fill-Up) and two light-cure (QuiXfil and Tetric N-Ceram Bulk Fill) BFRCs were investigated. For each tested BFRC, 11 cylindrical specimens (5 mm diameter, 4 mm height) were prepared, and light cured for 10 seconds (n= 11). DC was obtained by attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR), and VMH was obtained using a VMH tester. The specimens were measured for DC and VMH at top and bottom surfaces. Statistical analysis was performed using two-way ANOVA, Tukey's post-hoc, and Pearson correlation tests (P< 0.05). RESULTS: Fill-Up and Tetric N-Ceram Bulk Fill revealed significantly higher DC and VMH values on the top surfaces than that on the bottom surfaces, whereas QuiXfil revealed no significant difference between top and bottom surfaces for DC and VMH. All tested BFRCs showed bottom/top ratios >80% for both DC and VMH. Each tested BFRC showed a significant positive correlation between DC and VMH. All tested BFRCs had adequate depth of cure, but only QuiXfil had a uniform depth of cure. Both DC and VMH bottom/top ratios were effective for depth of cure evaluation. CLINICAL SIGNIFICANCE: QuiXfil, Tetric N-Ceram Bulk Fill, and Fill-Up BFRCs were well cured up to a 4 mm depth. Although Fill-Up (dual-cure) can be used with its chemical-curing mode, light curing improved DC and VMH values of the top layer. Distinct variance in DC and VMH among the three tested BFRCs may affect their clinical performance.


Assuntos
Resinas Compostas , Resinas Compostas/química , Dureza , Teste de Materiais , Polimerização
6.
BMC Oral Health ; 22(1): 635, 2022 12 23.
Artigo em Inglês | MEDLINE | ID: mdl-36564766

RESUMO

BACKGROUND: Evaluating the effect of different surface treatment methods on the micro-tensile bond strength (µTBS) of two different resin-matrix computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics (RMCs). METHODS: A standardized inlay preparations were performed on 100 intact maxillary premolars. According to the type of the restorative material, the teeth were randomly divided into two equally sized groups (n = 50): (polymer-infiltrated ceramic (Vita Enamic) and resin-based composites (Lava Ultimate)). The inlays were fabricated using CAD/CAM technology. In each group, the specimens were randomly assigned to five subgroups (n = 10) according to the surface treatment method: group 1 used was the control group (no surface treatment); group 2, was treated with air abrasion with 50 µm Al2O3 (A) and universal adhesive (UA); group 3, was treated with air abrasion with 50 µm Al2O3 (A) and silane coupling agent (S); group 4, was treated with hydrofluoric acid (HF) and universal adhesive (UA) and group 5, was treated with Hydrofluoric acid (HF) + silane coupling agent (S). The inlays were then cemented to their respective preparations using dual-cure self-adhesive resin cement (RelyX U200, 3 M ESPE) according to the manufacturer's instructions. The µTBS test was conducted in all groups, and stereomicroscope and scanning electron microscope were used to inspect the failure mode. The data were statistically analyzed using a two-way analysis of variance (ANOVA) and Tukey's post-hoc multiple comparison tests at a significance level of p < 0.05. RESULTS: Surface treatments significantly increased the µTBS of the materials compared to the control group (p < 0.05). For CAD/CAM RBCs, the µTBS value highest in group 2 whereas, for PICN, the µTBS value was highest in group 3. Cohesive failure of CAD/CAM restorative material was the most predominant mode of failure in all treated groups, whereas adhesive failure at restoration-cement interface was the most predominant failure mode in the control group. CONCLUSION: Surface treatments increase the µTBS of resin-matrix CAD/CAM ceramics to tooth structure. Air abrasion followed by universal adhesive and hydrofluoric acid followed by silane application appears to be the best strategies for optimizing the bond strength of CAD/CAM RBCs and PICN respectively.


Assuntos
Colagem Dentária , Silanos , Humanos , Abrasão Dental por Ar , Cerâmica/química , Desenho Assistido por Computador , Materiais Dentários/química , Dentina , Ácido Fluorídrico/química , Teste de Materiais , Cimentos de Resina/química , Silanos/química , Propriedades de Superfície
7.
J Esthet Restor Dent ; 30(2): 146-152, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29197139

RESUMO

OBJECTIVES: To study the effect of silver nanoparticles incorporation to glass ionomer cement (GIC) on the Staphylococcus aureus biofilm in terms of bacterial growth and evaluate the incorporating effect on hardness and compressive strength. METHODS: Silver nanopowder was added in concentration 0, 1, 3, and 5 wt% to the conventional powder of GIC Fuji IX GP and then the powder is added to the liquid and mixed together with the recommended Powder/liquid ratio of 3.6:1 g. One hundred and twenty disc and cylindrical-shaped specimens were prepared using teflon molds. The specimens were put in tissue culture plate wells contained S. aureus in brain-heart infusion broth. The plate was incubated at 37°C for 24 h. Specimens were then washed, fixed, dehydrated, and air dried. The spatial distribution of biofilm was examined via scanning electron microscope. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were also evaluated. After setting, the specimens were stored in distilled water for 24 h before testing for microhardness and compressive strength. RESULTS: Scanning electron photomicrographs of biofilm formed on the control GIC, showed a consistent biofilm with a thick sheet of cells, whereas those formed were less dense at 3 wt% and below the detection limit at 5 wt% silver nanoparticles. MIC and MBC of S. aureus were 25 and 50 µg/mL, respectively. The microhardness and compressive strength values of tested groups showed a nonsignificant decrease from the control group, P = .58 and .82, respectively. CONCLUSION: Incorporation of silver nanoparticles with GIC can limit S. aureus biofilm formation with an insignificant effect on mechanical properties and noticeable influence on its coloration, which restrict its usage in areas where esthetic is not of major concern. CLINICAL SIGNIFICANCE: As the modification of GIC with silver nanoparticles improved the antibiofilm properties without altering its mechanical properties, it could be used as a restoration of root carious lesion mainly in nonesthetic areas, a base under composite restorations in deep posterior cavities and as a core material in caries susceptible patients.


Assuntos
Nanopartículas Metálicas , Prata , Biofilmes , Cimentos de Ionômeros de Vidro , Humanos , Teste de Materiais , Staphylococcus aureus
8.
Clin Oral Implants Res ; 25(2): e1-9, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23173838

RESUMO

OBJECTIVES: This study was conducted to create nanostructured surface titanium implants by anodic oxidation process aiming to bring out bioactivity and to assess the resultant bioactivity both in vitro and in vivo. MATERIALS AND METHODS: An economic protocol was used to apply anodic spark discharge and create surface nanoporosities on grade II commercially pure titanium (cpTi). The in vitro investigation included morphology, surface chemical analysis, roughness and crystalline structure of titanium oxide (TiO2) film prepared. Assessment of the bioactivity was carried out by immersing the specimens in simulate body fluid (SBF) and investigating the surface-deposited layer. The in vivo investigation was conducted by surgically placing the anodized implants into rabbits tibia for different healing periods. Then biomechanical evaluation was performed to verify the effect of treatments on the interface resistance to shear force. Routine histological analysis was performed to evaluate the bone tissue reactions to anodized implants. RESULTS: Anodization of titanium implants produced morphological changes, raised the percentage of oxygen in the TiO2 layer, increased surface area and roughness of implants remarkably, and modified the crystallinity of the film. The in vitro assessments of bioactivity showed that a layer of calcium phosphate was precipitated on the titanium surfaces 7 days after soaking into SBF. The implant-bone interface resistance to shear force was enhanced at 2-week healing period. This was confirmed by histological findings. CONCLUSION: Nanostructured surface titanium implants could be prepared by anodic oxidation with resultant accelerated bioactivity that may be recommended for early loading.


Assuntos
Materiais Revestidos Biocompatíveis/química , Implantes Dentários , Titânio/química , Animais , Implantes Experimentais , Masculino , Teste de Materiais , Microscopia de Força Atômica , Microscopia Eletrônica de Varredura , Nanoestruturas , Oxirredução , Coelhos , Propriedades de Superfície , Tíbia/cirurgia , Difração de Raios X
9.
Int Orthod ; 22(2): 100865, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38457899

RESUMO

AIM: Fluoride-Amorphous Calcium Phosphate and Biomimetic Nano-Hydroxyapatite for Enamel Remineralization; An In-Vitro Study of Surface Microhardness and Composition. MATERIAL AND METHODS: Ninety-six extracted human premolars with sound buccal surface were divided using a randomization computer-generating software into four groups; Group I (control) sound untreated enamel, Group II (demineralized) demineralized to create white spot lesions, Group III (biom-n-HA) demineralized and then treated with biomimetic nanohydroxyapatite cream, and Group IV (F-ACP) demineralized and then treated using Fluoride-Amorphous Calcium Phosphate varnish. Each group was divided into two subgroups; subgroup "A" evaluated for mineral content using energy dispersive x-ray spectroscopy (EDX) and for surface microhardness using the Vickers microhardness test and Subgroup "B" evaluated for white spot lesion depth using a polarized light microscope (PLM). RESULTS: The highest microhardness (VHN) was found in the (F-ACP) group (mean=428.61±54.43) and then in the (Biom-n-HA) group (mean=408.11±70.16) followed by the (Control) group (mean=402.13±53.40) with no significant difference between them and finally in the significantly different (Demineralized) group (mean=256.99±45.83). The weight percentage of Ca (30.29±1.04 and 33.44±1.07) and Ca/P ratio (1.87±0.06 and 2.03±0.05) were significantly different between Group III and Group IV respectively. PLM measurements in Group II (198.83µm), Group III (60.17µm), and Group IV (26.33µm) were significantly different. CONCLUSIONS: Both the (Biom-n-HA) cream and the (F-ACP) varnish showed promising results for enamel remineralization. The increased enamel surface microhardness was consistent with the mineral content and the changes in the birefringence.


Assuntos
Fosfatos de Cálcio , Esmalte Dentário , Durapatita , Fluoretos , Dureza , Remineralização Dentária , Humanos , Remineralização Dentária/métodos , Esmalte Dentário/efeitos dos fármacos , Durapatita/química , Fosfatos de Cálcio/farmacologia , Fluoretos/química , Cariostáticos/farmacologia , Desmineralização do Dente , Espectrometria por Raios X , Dente Pré-Molar , Microscopia de Polarização , Técnicas In Vitro , Materiais Biomiméticos/química , Fluoretos Tópicos , Propriedades de Superfície
10.
Heliyon ; 9(5): e16249, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37251835

RESUMO

Objectives: Esthetic restorations such as monolithic zirconia crowns are highly requested for adults nowadays. Bonding orthodontic braces on this type of material became a challenge for orthodontists, because of the special surface treatment needed. This study aims to assess the shear bond strength (SBS) of metal, and ceramic brackets bonded on two types of zirconia ceramics, surface roughness (SR) after different surface treatments for their surfaces, and adhesive remnant index (ARI). Materials and methods: Brackets' base surface area (BSA) was scanned by an extra-oral scanner, then measured. The doubled labial surface of monolithic zirconia crowns (n = 30) and monolithic high translucent zirconia crowns (n = 30) were prepared and each was divided into three groups (n = 10) depending on surface treatment (hydrofluoric acid etching, no treatment, and rocatec airborne abrasion). Extracted lower central incisors (n = 20) were prepared. Each of them was divided into two subgroups depending on the type of bracket bonded on their surfaces (metal and ceramic). The SR, SBS, and ARI were assessed. Statistical analysis used: Tests used are independent-samples t-test, Fisher's exact test, One-Way ANOVA, and Kruskal-Wallis test. Results: The highest SBS and SR were observed in Enamel/Metal and Zirconia/Metal/Rocatec subgroups, respectively. Conclusion: Adequate bond strength could be obtained with the high translucent zirconia group if bonded with ceramic or metal brackets even if no treatment was used. Clinical significance: A proportion of simulation was done like practicing inside the dental clinic to reach the best results regarding the adhesion strength of orthodontic brackets.

11.
Int Orthod ; 21(2): 100751, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37003059

RESUMO

OBJECTIVE: To investigate and compare the effect of self-assembling peptide SAP (P11-4), casein phosphopeptide-amorphous calcium phosphate fluoride paste (CPP-ACPF), and fluoride varnish (FV) on preventing enamel demineralization around orthodontic brackets. MATERIAL AND METHODS: Orthodontic brackets were bonded to the buccal surfaces of 80 freshly extracted human maxillary premolars. Teeth were randomly assigned to four groups (n=20) according to the remineralizing agent used as follows: SAP (P11-4) group (Curodont™ Protect/Credentis), CPP-ACPF group (MI Paste Plus®/Recaldent™), fluoride varnish group (Profluoride varnish®/VOCO), and control group. All products were applied according to the manufacturer's instructions. Specimens were cycled in daily refreshed demineralizing and remineralizing solutions for 8h and 16h, respectively, for 28 days. The calcium/phosphorus ratio (Ca/P) and surface microhardness (SMH) were evaluated at baseline and at two and four weeks. Two-way ANOVA (analysis of variance), one-way ANOVA and repeated measures ANOVA were used for statistical analysis. RESULTS: Two-way ANOVA demonstrated significant differences between remineralizing agents and time points. After 4 weeks, the SAP (P11-4) group had had significantly higher Ca/P ratio and SMH (1.68±0.11 and 346.47±55.38) compared to other groups, followed by CPP-ACPF (1.52±0.19 and 283.53±64.75), FV (1.37±0.14 and 262.80±82.98), and the control group (1.31±0.10 and 213.00±41.95). Significantly higher Ca/P ratio and SMH were observed at 2 weeks in the control group (1.44±0.10 and 269.63±57.37) and FV group (1.52±0.09 and 321.17±55.24) compared to 4 weeks. No significant differences were found regarding Ca/P ratio and SMH at 2 weeks in the CPP-ACPF (1.55±0.15 and 295.14±53.88) and SAP P11-4 groups (1.64±0.10 and 320.18±58.04) compared to 4 weeks. CONCLUSION: SAP (P11-4) had the greatest remineralizing efficacy compared to FV and CPP-ACPF. Moreover, extended period of time improved the preventive efficacy of SAP (P11-4) compared to the other regimens.


Assuntos
Fluoretos Tópicos , Braquetes Ortodônticos , Humanos , Braquetes Ortodônticos/efeitos adversos , Fluoretos/farmacologia , Fluoretos/uso terapêutico , Esmalte Dentário , Peptídeos/farmacologia
12.
J World Fed Orthod ; 12(6): 260-268, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37709635

RESUMO

BACKGROUND: To determine the effect of silver and silver chitosan nanocoatings on monocrystalline ceramic, polycrystalline ceramic, and metallic brackets regarding friction, roughness, and antibacterial effect against Streptococcus mutans. METHODS: A total of 99 upper right premolar brackets with a 0.022 × 0.025 -inch slot were divided into three groups, each 33 according to coating material; the non-coated group, silver nanoparticles (AgNPs), and silver chitosan nanoparticles (Ag-CsNPs) groups. Each group was equally subdivided into the following three subgroups regarding bracket materials: monocrystalline ceramic, polycrystalline ceramic, and metallic brackets. A universal testing machine determined static friction on a custom-made acrylic jig. Then a profilometer machine was used to collect roughness data, and finally, the anti-cariogenic effect was measured with the disc diffusion technique's "minimum zone of inhibition" against Streptococcus mutans. Two-way ANOVA was used to compare data between groups and subgroups, followed by the Bonferroni test for multiple pair-wise comparisons. RESULTS: The nanocoating effect on ceramic brackets' static friction was non-significant. The AgNPs and Ag-CsNPs coated metallic group revealed a significant increase in static friction-a significant effect of the nanocoating in the surface roughness of monocrystalline and polycrystalline ceramic brackets. A significant favorable effect of AgNPs and Ag-CsNPs against Streptococcus mutans was observed. CONCLUSIONS: AgNPs and Ag-CsNPs coats are unsuitable for decreasing friction in metallic brackets or improving roughness in polycrystalline ceramic brackets. Nano coating can improve roughness in monocrystalline ceramic brackets. Coating brackets with AgNPs and Ag-CsNPs has a tremendous antibacterial effect on Streptococcus mutans, a substantial factor in the incidence of dental caries.


Assuntos
Quitosana , Cárie Dentária , Nanopartículas Metálicas , Braquetes Ortodônticos , Humanos , Fricção , Prata/farmacologia , Ligas Dentárias/química , Quitosana/farmacologia , Fios Ortodônticos , Propriedades de Superfície , Streptococcus mutans , Antibacterianos/farmacologia
13.
J Clin Exp Dent ; 14(10): e782-e790, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36320679

RESUMO

Background: During clinical service, dental materials could experience chemical degradation due to exposure to different diet components which could affect their functions and longevity. So, the objective of this study was to investigate the effect of food simulating solutions on surface properties of two CAD/CAM dental resin composites. Material and Methods: Two CAD/CAM composites; a nano-hybrid and a resin nano-ceramic were machined into 2 mm plates then assessed at baseline for their surface roughness and microhardness. Each group was immersed into distilled water, ethanol and methyl ethyl ketone (MEK) for 15 days at 37oC. The surface properties were evaluated after one day, 10 and 15 days of immersion by a surface profilometer and Vickers microhardness tester, and finally the surface morphology was studied using scanning electron microscopy. Results: At baseline, there was no significant difference in roughness between Teric CAD and Lava Ultimate, however, Lava Ultimate was significantly harder than Tetric CAD. Aging in ethanol had no significant effect on roughness and hardness of both the materials. Yet, Lava Ultimate showed significantly higher roughness and hardness compared to Tetric CAD. Immersion in MEK resulted in a significant increase in roughness of Lava Ultimate at 10 and 15 days. Neverthless, it caused a significant decrease in hardness of Tetric CAD at 10 and 15 days and Lava Ultimate at 10 days. Finally, water immersion caused a significant increase of roughness Tetric CAD. Conclusions: Exposure to different storage media variably affected the surface properties of CAD/CAM machinable composites. Both materials showed greater stability in surface properties when being immersed in ethanol than MEK. Hence, the surface deterioration suggests the advisability of more research involving increased immersion periods and involvement of thermocycling changes. Key words:Food simulating solutions, chemical degradation, nano-hybrid CAD/CAM composite, resin nano-ceramic CAD/CAM material, surface roughness, micro-hardness, surface morphology.

14.
Materials (Basel) ; 14(23)2021 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-34885262

RESUMO

This study aimed to assess bioglass sintering to a zirconia core on surface properties and bonding strength to resin cement. Zirconia specimens were divided into four groups: G I: sintered; G II: bioglass modified zirconia (a bioglass slurry was sintered with zirconia at 1550 °C); G III: sandblasted using 50 µm Al2O3 particles; and G IV: Z-prime plus application. Surface morphology and chemical analysis were studied using a scanning electron microscope and energy-dispersive spectroscopy. Surface roughness was evaluated using a profilometer. Surface hardness was measured using an indentation tester. For the microshear bond strength test, resin cement cylinders were bonded to a zirconia surface. Half of the specimens were tested after 24 h; the other half were thermocycled (5-55 °C) for 1000 cycles. A shearing load was applied at a crosshead speed of 0.5 mm/min on a universal testing machine. Data were analyzed with ANOVA using SPSS software at (p < 0.05). Results: tThe mean surface roughness of G II was significantly higher than G I and G III. The microhardness of G II was significantly lower than all groups. For bond strength, there was no significant difference between groups II, III, and IV after thermocycling. Conclusions: Bioactive glass can increase the bond strength of zirconia to resin cement, and is comparable to sandblasting and Z-prime bonding agents.

15.
Dental Press J Orthod ; 25(1): 26-27, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32215474

RESUMO

OBJECTIVE: To qualitatively and quantitatively assess the color changes effect and the color stability of the resin infiltrant on white spot lesions (WSLs), in comparison with nano-hydroxyapatite (nano-HA) toothpaste and microabrasion. METHODS: WSLs were artificially created on sixty human premolars enamel surfaces and randomly assigned to equal four groups (n = 15 each): nano-HA toothpaste, microabrasion (Opalusture), resin infiltrant (Icon) treatment, or artificial saliva (control group). The color change (ΔE) of each specimen was measured by dental spectrophotometer (Vita Easyshade) at different time points: baseline, after WSLs' creation, after application of treatments, one month, three and six months after treatments application. RESULTS: The ΔE value did not differ significantly for the four groups at baseline measurement before treatment (p> 0.05). Icon resin infiltrant improved the color of WSLs significantly immediately after its application, giving the lowest ΔE value (3.00 ± 0.59), when compared to other treatments (p< 0.001). There were no significant changes in ΔE (p> 0.05) for all groups during the follow up intervals (one month, three and six months after treatments application). CONCLUSION: Resin infiltrant can improve the color of WSLs and restore the natural appearance of enamel better than nano-HA toothpaste and microabrasion.


Assuntos
Cárie Dentária , Cor , Esmalte Dentário , Humanos , Resinas Sintéticas , Espectrofotometria
16.
Dental Press J Orthod ; 25(4): 51-58, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965387

RESUMO

OBJECTIVE: To investigate the effect of ZnO nanocoating on mechanical properties of NiTi orthodontic wires and antibacterial activity. METHODS: 0.016 x 0.022-in NiTi orthodontic wires were coated with ZnO nanoparticles using an electrochemical deposition method with three electrodes system in 0.1M Zn(NO3)2. Mechanical properties and frictional resistance of the coated wires were investigated using an universal testing machine. Antibacterial effect of ZnO coating was also investigated. RESULTS: A stable adhered ZnO nanocoating on NiTi wires was obtained. The coated wires have a significant antibacterial activity against S. aureus, S. pyogens and E. coli, and a reduction of frictional forces by 34%. CONCLUSION: ZnO nanocoating may improve the antibacterial effects of NiTi wires and reduce the frictional resistance. Coating may be implanted in orthodontic practice for faster and safer treatment.


Assuntos
Óxido de Zinco/farmacologia , Antibacterianos/farmacologia , Ligas Dentárias , Escherichia coli , Teste de Materiais , Níquel , Fios Ortodônticos , Staphylococcus aureus , Propriedades de Superfície , Titânio/farmacologia , Zinco
17.
Dent Mater J ; 36(2): 157-167, 2017 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-28111389

RESUMO

This study investigated the combining effect of cold plasma and bioglass-phosphoric acid paste on demineralized enamel. Fifty bovine incisors' enamel specimens were challenged by a demineralization solution of pH 4.47 for 72 h. Specimens were divided into five groups: (I) Control, demineralized enamel (C); (II) Demineralized enamel treated with fluoride varnish (F); (III) Cold plasma application to demineralized enamel (P); (IV) Demineralized enamel treated with bioglass paste (B); (V) Application of bioglass paste to cold plasma-treated demineralized enamel (PB). Specimens were then immersed in remineralizing solution for 24 h, before being examined with micro-computed tomography (micro-CT), scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS) and cross-sectional micro-hardness measurement. The results showed that; treating demineralized enamel with cold plasmas before bioglass application ensued a significant high mineral volume recovery and micro-hardness of demineralized region. It can be concluded that cold plasmas may improve the remineralization of bioglass on demineralized enamel.


Assuntos
Gases em Plasma , Desmineralização do Dente , Animais , Cariostáticos , Bovinos , Estudos Transversais , Esmalte Dentário , Fluoretos , Dureza , Remineralização Dentária , Microtomografia por Raio-X
18.
Dental Press J Orthod ; 22(1): 47-56, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28444018

RESUMO

OBJECTIVE: To evaluate the effect of silica dioxide (SiO2) nanofillers in different bonding systems on shear bond strength (SBS) and mode of failure of orthodontic brackets at two experimental times. METHODS: Ninety-six intact premolars were divided into four groups: A) Conventional acid-etch and primer Transbond XT; B) Transbond Plus self-etch primer; and two self-etch bonding systems reinforced with silica dioxide nanofiller at different concentrations: C) Futurabond DC at 1%; D) Optibond All-in-One at 7%. Each group was allocated into two subgroups (n = 12) according to experimental time (12 and 24 hours). SBS test was performed using a universal testing machine. ARI scores were determined under a stereomicroscope. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were used to determine the size and distribution of nanofillers. One-way ANOVA was used to compare SBS followed by the post-hoc Tukey test. The chi-square test was used to evaluate ARI scores. RESULTS: Mean SBS of Futurabond DC and Optibond All-in-One were significantly lower than conventional system, and there were no significant differences between means SBS obtained with all self-etch bonding systems used in the study. Lower ARI scores were found for Futurabond DC and Optibond All-in-One. There was no significant difference of SBS and ARI obtained at either time points for all bonding systems. Relative homogeneous distribution of the fillers was observed with the bonding systems. CONCLUSION: Two nanofilled systems revealed the lowest bond strengths, but still clinically acceptable and less adhesive was left on enamel. It is advisable not to load the brackets immediately to the maximum.


Assuntos
Colagem Dentária , Cimentos Dentários/química , Nanotecnologia , Braquetes Ortodônticos , Resistência ao Cisalhamento , Aço Inoxidável/química , Condicionamento Ácido do Dente , Dente Pré-Molar , Análise do Estresse Dentário , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Microscopia Eletrônica de Transmissão
19.
Angle Orthod ; 85(1): 39-47, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24866836

RESUMO

OBJECTIVE: To compare as-received and sterilized micro-implants in order to assess the prospects of reusing them. MATERIALS AND METHODS: Forty micro-implants from a single manufacturing lot were used in the study. Thirty were retrieved from patients after successful service in their mouth and with no signs of failure. The retrieved micro-implants were divided into three groups, according to method of sterilization: autoclave, gamma radiation, or ultraviolet radiation. All groups were subjected to scanning electron microscope analysis for surface morphology assessment. The specimens were immersed in a standard simulated body-fluid solution kept at 37°C in an incubator; the solution was then withdrawn at 24 hours and 30 days to evaluate aluminum and vanadium ion release by atomic absorption spectrophotometer in parts per billion. The micro-implants were then surgically implanted into the tibia of rabbits for a 1-month healing period, and the bone-implant blocks were processed for routine histologic examination. RESULTS: This study revealed that sterilized micro-implants had altered surface topography, different ion release values, and different histologic cell reactions than the as-received micro-implants. CONCLUSIONS: Within the limitations of this study, it can be concluded that retrieved self-drilling micro-implants have tip sharpness variations that require correction before insertion by bone drilling. The autoclave-sterilized micro-implants showed better histologic results than micro-implants sterilized by gamma or ultraviolet rays.


Assuntos
Implantes Dentários , Procedimentos de Ancoragem Ortodôntica/instrumentação , Esterilização/métodos , Tíbia/patologia , Ligas , Alumínio/análise , Animais , Interface Osso-Implante/patologia , Ligas Dentárias/química , Microanálise por Sonda Eletrônica , Reutilização de Equipamento , Raios gama , Temperatura Alta , Imersão , Microscopia Eletrônica de Varredura , Miniaturização , Coelhos , Espectrofotometria Atômica , Esterilização/instrumentação , Propriedades de Superfície , Temperatura , Fatores de Tempo , Titânio/química , Raios Ultravioleta , Vanádio/análise
20.
Prog Orthod ; 16: 12, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26061985

RESUMO

BACKGROUND: The objective of this study was to study the potential protection effect of different treatments against sound enamel demineralization around orthodontic brackets. METHODS: This is an in vitro randomized controlled study; artificial enamel demineralization of human premolars was created and compared with reference to control. The three materials used for enamel treatment were resin infiltrate (ICON), fluoridated varnish (Clinpro), and the self-etch primer system (Transbond Plus Self-Etch Primer). Fifty premolars divided equally into five groups were included in the study for quantitative surface micro-hardness assessment using a micro-hardness tester (MHT). Qualitative assessment of the enamel demineralization with a polarized light microscope (PLM) was also used. Enamel was demineralized by subjecting the specimens to cycling between artificial saliva solution and a demineralizing solution for 21 days. RESULTS: The mean Vickers hardness in kgf/mm(2) was as follows: intact enamel = 352.5 ± 13.8, demineralized enamel = 301.6 ± 34.0, enamel treated with Clinpro = 333.6 ± 18.0, enamel treated with SEP = 370.7 ± 38.8, and enamel treated with ICON = 380.5 ± 53.8. CONCLUSIONS: ICON, Clinpro, and Transbond Plus Self-Etch Primer (TPSEP) increased enamel resistance to demineralization. Attempting to protect the enamel around the orthodontic brackets could be done by applying a preventive material before bonding, if not compromising the bond strength, the orthodontic brackets.


Assuntos
Cariostáticos/uso terapêutico , Esmalte Dentário/efeitos dos fármacos , Braquetes Ortodônticos , Desmineralização do Dente/prevenção & controle , Resinas Compostas/uso terapêutico , Fluoretos Tópicos/uso terapêutico , Dureza , Humanos , Teste de Materiais , Microscopia de Polarização , Selantes de Fossas e Fissuras/uso terapêutico , Distribuição Aleatória , Cimentos de Resina/uso terapêutico , Resinas Sintéticas/uso terapêutico , Fatores de Tempo
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