Effects of non-thermal atmospheric pressure pulsed plasma on the adhesion and durability of resin composite to dentin.

This study investigated the effect of low-power, non-thermal atmospheric pressure plasma (NT-APP) treatments, in pulsed and conventional modes, on the adhesion of resin composite to dentin and on the durability of the bond between resin composite and dentin. A pencil-type NT-APP jet was applied in pulsed and conventional modes to acid-etched dentin. The microtensile bond strength (MTBS) of resin composite to dentin was evaluated at 24 h and after thermocycling in one control group (no plasma) and in two experimental groups (pulsed plasma and conventional plasma groups) using the Scotchbond Multi-Purpose Plus Adhesive System. Data were analyzed using two-factor repeated-measures anova and Weibull statistics. Fractured surfaces and the bonded interfaces were evaluated using a field-emission scanning electron microscope. Although there were no significant differences between the plasma treatment groups, the plasma treatment improved the MTBS compared with the control group. After thermocycling, the MTBS did not decrease in the control or conventional plasma group but increased in the pulsed plasma group. Thermocycling increased the Weibull moduli of plasma-treated groups. In conclusion, plasma treatment using NT-APP improved the adhesion of resin composite to dentin. Using a pulsed energy source, the energy delivered to the dentin was effectively reduced without any reduction in bond strength or durability.

The color change in artificial white spot lesions measured using a spectroradiometer.

OBJECTIVES: The purpose of this study was to determine the color of white spot lesions. MATERIALS AND METHODS: Human premolars were subjected to a pH cycling to produce artificial caries lesions and classified into groups (n = 10/group): group 1, immersion in deionized water; group 2, pH cycling without fluoride (F) application; group 3, pH cycling with immersion in 1,000 ppm NaF solution; and group 4, pH cycling with immersion in 5,000 ppm NaF solution. CIE L*a*b* color parameters of the tooth were determined using a spectroradiometer at baseline, after demineralization and after pH cycling. The extent of demineralization was evaluated by scanning electron microscopy (SEM) and electron microprobe analysis (EPMA). RESULTS: Significant degrees of color change (ΔE*) were observed after demineralization (p < 0.05). The changes were mainly due to an increase in lightness (L*) and a decrease in yellowness (b*). F application induced a significantly large ΔE* in group 4 (p < 0.05). The color reversal after remineralization was mostly due to the recovery of L*. SEM and EPMA verified that net mineral gains occurred in the subsurface lesions. CONCLUSIONS: The initially white appearance of enamel caries was a result of changes of L* and b*. F treatment partially restored the color of white spot lesions. CLINICAL RELEVANCE: F-driven remineralization induced both mineral gains and esthetic enhancement of artificially produced enamel white spot lesions. The increase of L* and the decrease of b* contributed to the color changes.

Caries risk profiles of Korean dental patients using simplified Cariogram models.

OBJECTIVES: The objective of this study was to compare the caries risk profiles obtained from the simplified Cariogram models and the conventional Cariogram model of Korean dental patients. MATERIALS AND METHODS: Data required for a caries risk assessment with the Cariogram were collected from 80 young adult patients (mean: 23 years old). Three different simplified Cariogram models were produced with exclusion of either or both salivary secretion rate and lactobacilli count: group 1, conventional model; group 2, both salivary secretion rate and lactobacilli count excluded; group 3, salivary secretion rate excluded; group 4, lactobacilli count excluded. RESULTS: The mean chance of avoiding caries in group 1 (55.5%) was not significantly different from those in groups 2 and 3. Also four caries-related sectors of the Cariogram (diet, bacteria, susceptibility and circumstance) in group 1 were not significantly different than in groups 2 and 3. Group 4 showed significant differences from group 1 in the mean chance of avoiding caries and the diet, susceptibility and circumstance sectors (p < 0.05). Significant correlations were detected between all risk factors and their corresponding risk sectors (p < 0.05). Also there were significant correlations between each risk factor and the chance of avoiding caries, except for the amount of plaque, in groups 1, 2 and 3 (p < 0.05). CONCLUSIONS: The simplified Cariogram model without salivary secretion rate and lactobacilli count did not significantly change the outcome produced from the conventional model. However, single exclusion of lactobacilli count noticeably changed the caries risk profile.

The influence of a continuous increase in thickness of opaque-shade composite resin on masking ability and translucency.

OBJECTIVES: This study was conducted to determine the minimum thickness of opaque-shade composite resin required to mask discolored tooth structures or darkness of the oral cavity and to determine the effect of the brand and shade of composite resins on masking ability and translucency. MATERIALS AND METHODS: Discs and beveled specimens were manufactured using six opaque-shade light-curing composite resins (Charisma, Heraeus Kulzer; Estelite Sigma Quick, Tokuyama; Gradia Direct Anterior, GC). The discolored tooth structures and darkness of the oral cavity were reproduced using background tiles. The disc specimen colors were measured using a spectroradiometer by increasing the thickness of the beveled specimens on the backing by 0.05 mm in series, and color difference (ΔE*(ab)) and translucency parameter (TP) were calculated. RESULTS: The thicknesses of opaque-shade composite resins that masked the C4 shade and black backings were 0.80-1.45 and 1.85-2.00 mm, respectively. Overall, the ΔE*(ab) and TP values decreased as the thickness of the opaque-shade composite resins increased. When the shades of the composite resins were identical, the TP decreased in the order of Charisma, Estelite Sigma Quick and Gradia Direct Anterior. When the brand was fixed, the TP was higher in the OA3 shade than in the OA2 shade. A significant correlation was seen between ΔE*(ab) and TP (p < 0.05). CONCLUSIONS: The brands and shades of the composite resins were shown to have a clear effect on TP, but an inconsistent tendency for ΔE*(ab).

Caries-preventive activity of fluoride-containing resin-based desensitizers.

OBJECTIVE: The purpose of this study was to evaluate the effects of different desensitizing agents on the prevention of root caries when applied to root surfaces. MATERIALS AND METHODS: Thirty human roots were sectioned into quarters with a 3 × 4 mm window. A desensitizer (VX, Clinpro™ XT Varnish; SP, Seal & Protect®; or PB, Clearfil™ Protect Bond) was applied to three of the quarters in each window. Teeth were stored separately in water for one day, 30 days, or 60 days. The remaining quarter, without the application of desensitizer, served as a control. After storage in water, all specimens were subjected to pH cycling. Scanning electron microscopy was used to observe the demineralization bands created on the subsurface layer. The weight percentages of fluorine (F), silica, and calcium (Ca) were determined using electron probe microanalysis to quantify the elemental distributions in the root dentin. The concentrations of F released during a pH cycling were measured. RESULTS: For the control group, the average lesion depth was 18.92 ± 5.42 µm, and the average Ca loss was 15.66% ± 6.80% in the superficial layer and 30.44% ± 9.61% in the subsurface layer. No Ca loss occurred in the desensitizer-treated groups. All desensitizing agents remained intact for at least 60 days. F levels were increased in the hybrid layer but not in the subhybrid area. Outward release of F diminished with time. CONCLUSION: The F-containing resin-based desensitizers protected exposed root surfaces from demineralization. F liberated from the desensitizers was detected only at minimal levels.

Nuclear factor I-C is essential for odontogenic cell proliferation and odontoblast differentiation during tooth root development.

Our previous studies have demonstrated that nuclear factor I-C (NFI-C) null mice developed short molar roots that contain aberrant odontoblasts and abnormal dentin formation. Based on these findings, we performed studies to elucidate the function of NFI-C in odontoblasts. Initial studies demonstrated that aberrant odontoblasts become dissociated and trapped in an osteodentin-like mineralized tissue. Abnormal odontoblasts exhibit strong bone sialoprotein expression but a decreased level of dentin sialophosphoprotein expression when compared with wild type odontoblasts. Loss of Nfic results in an increase in p-Smad2/3 expression in aberrant odontoblasts and pulp cells in the subodontoblastic layer in vivo and primary pulp cells from Nfic-deficient mice in vitro. Cell proliferation analysis of both cervical loop and ectomesenchymal cells of the Nfic-deficient mice revealed significantly decreased proliferative activity compared with wild type mice. In addition, Nfic-deficient primary pulp cells showed increased expression of p21 and p16 but decreased expression of cyclin D1 and cyclin B1, strongly suggesting cell growth arrest caused by a lack of Nfic activity. Analysis of the pulp and abnormal dentin in Nfic-deficient mice revealed an increase in apoptotic activity. Further, Nfic-deficient primary pulp cells exhibited an increase in caspase-8 and -3 activation, whereas the cleaved form of Bid was hardly detected. These results indicate that the loss of Nfic leads to the suppression of odontogenic cell proliferation and differentiation and induces apoptosis of aberrant odontoblasts during root formation, thereby contributing to the formation of short roots.

Disruption of Nfic causes dissociation of odontoblasts by interfering with the formation of intercellular junctions and aberrant odontoblast differentiation.

We reported previously that Nfic-deficient mice exhibit short and abnormal molar roots and severely deformed incisors. The objective of this study is to address the mechanisms responsible for these changes using morphological, IHC, and RT-PCR analysis. Nfic-deficient mice exhibited aberrant odontoblasts and abnormal dentin formation in molar roots and the labial crown analog of incisors. The most striking changes observed in these aberrant odontoblasts were the loss of intercellular junctions and the decreased expression of ZO-1 and occludin. As a result, they became dissociated, had a round shape, and lost their cellular polarity and arrangement as a sheet of cells. Furthermore, the dissociated odontoblasts became trapped in dentin-like mineralized tissue, resembling osteodentin in the overall morphology. These findings suggest that loss of the Nfic gene interferes with the formation of intercellular junctions that causes aberrant odontoblast differentiation and abnormal dentin formation. Collectively, these changes in odontoblasts contributed to development of molars with short and abnormal roots in Nfic-deficient mice.

Translucency and masking ability of various opaque-shade composite resins.

OBJECTIVES: The aims of this study were to evaluate the adequate thickness of opaque resins for situations such as an oral black cavity and discolored tooth structure, as well as the translucency of each opaque material at various thicknesses. METHODS: Six opaque-shade composite resins (Z-350 OA3, Amelogen Universal A2O, Esthet-X A2O, Esthet-X A4O, Charmfil UO, and Aelite Universal OA3) were prepared in metal molds with a hole of 8mm in diameter and various thicknesses (0.5mm, 1.0mm, 1.5mm, 2.0mm, 2.5mm, 3.0mm and 4.0mm). Four backgrounds (white tile, black tile, C4 shade porcelain and opaque resin itself) were used to determine the translucency parameter (TP) (between black and white backgrounds), and to mimic a black oral cavity (between black and opaque resin backgrounds) and a discolored tooth structure (between C4 and opaque resin backgrounds). Color measurements were made by a colorimeter to determine the CIELAB values of each specimen with each background and to calculate the TP and DeltaE* value difference among the specimens on the backgrounds. RESULTS: TP and DeltaE* obtained between black and opaque resin backgrounds decreased in similar pattern as thickness increased. A C4 background was masked by resin thicknesses of 0.5-1.0mm, while a black background required thicknesses of 1.0-2.0mm. SIGNIFICANCE: This study can provide helpful guidelines for the esthetic restoration of discolored tooth structures or 'through and through' class III and IV cavities with composite resin materials.

Information resources and material selection in bonded restorations among Korean dentists.

PURPOSE: To elucidate how dentists access knowledge sources when choosing adhesive agents for bonded restoration and whether these resources influenced the selection of materials. MATERIALS AND METHODS: A national survey was carried out involving dentists in South Korea. The questionnaire included the status of the operator, clinical techniques, and materials. A total of 12,193 e-mails were distributed, 2632 were opened by recipients, and 840 responses were collected. RESULTS: For primary information resources in material selection, 55.8% (n = 469) of the responders mentioned continuing education. This selection criteria varied according to the working status of the clinician (p < 0.0001). The choice of bonding system was influenced by of the length of the career (p < 0.0001), and the preferred bonding systems differed according to the source of the information (p = 0.035). CONCLUSION: The popular bonding systems were not ranked according to the bonding strategy, but a preference was found for specific brands or manufacturers. To decrease the confusion of clinicians related to the selection of bonding materials, evidence-based guidelines need to be comprehensibly organized and efficiently approached in clinics.

Two-year clinical effectiveness of adhesives and retention form on resin composite restorations of non-carious cervical lesions.

The current study investigated the clinical effectiveness of three adhesives and the use of retention form in Class V resin composite restorations of the non-carious cervical lesion (NCCL) over a two-year period. One-hundred and fifty NCCLs in 39 patients were restored with resin composites according to six experimental protocols combining the presence or absence of retention form and three adhesives: ScotchBond Multi-Purpose (MP, 3M ESPE), an experimental adhesive (EX, Vericom) and Adper Prompt (AP, 3M ESPE). All restorations were evaluated at baseline, 6, 12 and 24 months. Modified United States Public Health Service (USPHS) criteria were used to evaluate the restorations. MP was found to have significantly superior marginal adaptation than AP in cumulative logistic regression analysis (odds ratio, 2.12; 95% confidence interval, 1.05-4.31; p = 0.0397). In analysis using the Pearson's Chi-square or Fisher's Exact Test to compare the clinical performance of restorations with and without retention form, EX with retention form showed a significantly higher retention rate at two years than that without retention form (p = 0.0089). Restorations with retention form also showed significantly less marginal discoloration than those without retention form in all three adhesives (p = 0.0336).

Influence of TGF-beta1 on the expression of BSP, DSP, TGF-beta1 receptor I and Smad proteins during reparative dentinogenesis.

Reparative dentin has a wide variety of manifestations ranging from a regular, tubular form to an irregular, atubular form. However, the characteristics of reparative dentin have not been clarified. This study hypothesized that the level of bone sialoprotein (BSP) expression will increase if the newly formed reparative dentin is bone-like but the dentin sialophosphoprotein (DSPP) level will decrease. In order to test this hypothesis, the expression of BSP and DSP was examined by immunohistochemistry and the expression of BSP was measured by in situ hybridization in an animal model. The pulps of 12 maxillary right first molars from twelve male rats were exposed and capped with MTA. In addition, in order to understand the role of transforming growth factor-beta 1 (TGF-beta1) during reparative dentinogenesis, the expression of BSP and DSPP mRNA was analyzed by RT-PCR in a human dental pulp cell culture, and the transforming growth factor-beta 1 receptors (TbetaRI) and Smad 2/3 were examined by immunofluorescence in an animal model. DSP was expressed in the normal odontoblasts and odontoblast-like cells of the reparative dentin. Interestingly, BSP was strongly expressed in the odontoblast-like cells of reparative dentin. The level of the TbetaRI and Smad 2/3 proteins was higher in the reparative dentin than in the normal dentin. TGF-beta1 up-regulated BSP in the human pulp cell cultures. This suggests that reparative dentin has both dentinogenic and osteogenic characteristics that are mediated by TGF-beta1.

Rheological characterization of composites using a vertical oscillation rheometer.

OBJECTIVES: The purpose of this study was to investigate the viscoelastic properties related to the handling characteristics of composites. METHODS: A custom-designed vertical oscillation rheometer (VOR) was used for the rheological measurements of composites. The VOR consists of three parts: (1) a measuring unit, (2) a deformation induction unit, and (3) a force-detecting unit. Two medium-viscous composites, Z100 and Z250, and two packable composites, P60 and SureFil, were tested. A dynamic oscillatory test was used to evaluate the storage modulus (E'), loss modulus (E''), and loss tangent (tan delta) of the composites as a function of frequency (omega) from 0.1 to 20Hz at 23 degrees C. RESULTS: The E' and E'' increased with increasing frequency and showed differences in magnitude among brands. The complex moduli E* of the composites at omega=2 Hz, normalized to that of Z100, were 2.16 (Z250), 4.80 (P60), and 25.21 (SureFil). The magnitudes and frequency characteristic of loss tangent differed significantly among brands. The relationship among the complex modulus E*, the phase angle delta, and the frequency omega was represented by the frequency domain phasor form E*(omega)e(idelta)=E*(omega) angledelta. SIGNIFICANCE: The viscoelasticities of composites, which influence handling characteristics, are significantly different among brands. The VOR is a relatively simple device for the dynamic rheological measurement of dental composites. The loci of the frequency domain phasor plots in a complex plane are a valuable method of representing the viscoelastic properties of composites.

Influence of cavity dimension and restoration methods on the cusp deflection of premolars in composite restoration.

OBJECTIVES: The aim of this study was to measure the cusp deflection by polymerization shrinkage during composite restoration for mesio-occluso-distal (MOD) cavities in premolars, and to examine the influence of cavity dimension, C-factor and restoration method on the cusp deflection. METHODS: Thirty extracted maxillary premolars of similar size were prepared with four different sizes of MOD cavity, and divided into six groups. The width and depth of the pulpal wall of the cavity were as follows: group 1: 1.5x1 mm, group 2: 1.5x2 mm, group 3: 3x1 mm, and groups 4-6: 3x2 mm. Groups 1-4 were restored using a bulk filling with a composite. Group 5 was restored incrementally, and group 6 was restored with an indirect composite inlay. Cusp deflections were measured using LVDT transducers. The cusp deflections were compared between groups using ANOVA and Scheffe tests, and a correlation analysis was done. RESULTS: The cusp deflections of groups 1-4 were 12.1 (2.2), 17.2 (1.9), 16.2 (0.8) and 26.4 (4.2) microm, respectively. There was a strong positive correlation between the length cubed divided by the thickness cubed of the remaining cusp (L3/T3) and cusp deflection. The C-factor was related to the % flexure (100xcusp deflection/cavity width). The cusp deflections of groups 5 and 6 were 17.4 (2.0) and 17.9 (1.4) microm, respectively, which were much lower values than those of group 4. SIGNIFICANCE: The cusp deflection increased with increasing cavity dimension and C-factor. Use of an incremental filling technique or an indirect composite inlay restoration could reduce the cuspal strain.

Bonding of the silane containing multi-mode universal adhesive for lithium disilicate ceramics.

OBJECTIVES: This study evaluated the influence of a multi-mode universal adhesive (MUA) containing silane (Single Bond Universal, 3M EPSE) on the bonding of resin cement to lithium disilicate. MATERIALS AND METHODS: Thirty IPS e.max CAD specimens (Ivoclar Vivadent) were fabricated. The surfaces were treated as follows: Group A, adhesive that did not contain silane (ANS, Porcelain Bonding Resin, Bisco); Group B, silane (S) and ANS; Group C, hydrofluoric acid (HF), S, and ANS; Group D, MUA; Group E, HF and MUA. Dual-cure resin cement (NX3, Kerr) was applied and composite resin cylinders of 0.8 mm in diameter were placed on it before light polymerization. Bonded specimens were stored in water for 24 hours or underwent a 10,000 thermocycling process prior to microshear bond strength testing. The data were analyzed using multivariate analysis of variance (p < 0.05). RESULTS: Bond strength varied significantly among the groups (p < 0.05), except for Groups A and D. Group C showed the highest initial bond strength (27.1 ± 6.9 MPa), followed by Group E, Group B, Group D, and Group A. Thermocycling significantly reduced bond strength in Groups B, C, and E (p < 0.05). Bond strength in Group C was the highest regardless of the storage conditions (p < 0.05). CONCLUSIONS: Surface treatment of lithium disilicate using HF and silane increased the bond strength of resin cement. However, after thermocycling, the silane in MUA did not help achieve durable bond strength between lithium disilicate and resin cement, even when HF was applied.

Effect of calcium hydroxide-treated Prevotella nigrescens on the gene expression of matrix metalloproteinase and its inhibitor in MG63 cells.

The purpose of this study was to monitor the expression of matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) produced by an osteoblastic cell line MG63 stimulated with Prevotella nigrescens lipopolysaccharides (LPS), and to compare the level of secretion before and after the P. nigrescens LPS was treated with calcium hydroxide [Ca(OH)2]. The underlying hypothesis is that the balance between MMP and TIMP secretion is the key to an understanding of the host degradative pathways involved in the pathogenesis of bacterial derived pulpal and periapical diseases. Confluent monolayers of MG63 human osteosarcoma cells were exposed to varying concentrations of P. nigrescens or Escherichia coli LPS. Alternately, confluent cultures were exposed to 10 microg/ml of bacterial LPS pretreated with Ca(OH)2 (12.5 mg/ml) for 72 hours. At the end of the experimental period, total RNA was extracted and real-time quantitative polymerase chain reaction (PCR) was performed for MMP-1, TIMP-1, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH). The results showed that the expression of MMP-1 mRNA was low and invariant for the experimental period in the negative controls. However, exposure to P. nigrescens LPS increased expression after 48 hours. Expression of TIMP-1 mRNA was highly increased at 24 and 48 hours with lower concentrations of LPS in contrast to a suppression with a concentration of 10 microg/ml. Treatment of P. nigrescens LPS with Ca(OH)2 resulted in a down-regulation of MMP-1, whereas pretreated E. coli LPS demonstrated no stimulatory activity for MMP-1 gene expression. Both types of LPS when pretreated with Ca(OH)2 induced slightly up-regulated expression of TIMP-1.

Curing effectiveness of a light emitting diode on dentin bonding agents.

This study tested the hypothesis that dentin bonding agents (DBAs) cured with a light emitting diode (LED) light curing unit (LCU) would not show a statistically significant different dentin shear bond strength (DSBS) relative to a halogen LCU, when the LED and halogen LCUs had a supposedly similar irradiance. Five commercial DBAs were tested: ScotchBond Multipurpose, Single Bond, One Step, Clearfil SE Bond, and Adper Prompt. The LCUs used in this study were a VIP (Bisco) for the halogen light and an Elipar FreeLight (3M ESPE) for the LED. First, the emission spectrum and spectral irradiance of both LCUs were investigated. Next, the DSBS of the DBAs cured with each LCU was measured. Two-way analysis of variance was used to analyze whether there were differences in DSBS resulting from the type of LCU and DBA used. The halogen LCU showed a higher total irradiance value relative to the LED LCU, but the difference of spectral irradiance was reduced in the efficient wavelength ranges for camphoroquinone activation. Although the DBAs cured with both types of LCUs showed similar DSBS values, Clearfil SE Bond showed the highest DSBS value when cured with a halogen light. Therefore, the null hypothesis of this study was rejected, indicating that the curing effectiveness of the LED LCU on some DBAs can be lower than that of a halogen LCU in terms of bond strength.

Effect of light-cure time of adhesive resin on the thickness of the oxygen-inhibited layer and the microtensile bond strength to dentin.

A thick oxygen-inhibited layer (OIL) on a cured adhesive layer (AL) is believed to result in both good adaptation of composite resin (CR) and high bond strength. A high degree of conversion (DC) of the AL is also needed for durable bonding. This study evaluated the hypothesis that increasing the DC by prolonging the light-curing time of adhesive bonding resin might decrease the bond strength of the adhesive to dentin because of the subsequent thinning of the OIL thickness. The OIL thickness and the DC of solvent-removed One Step and D/E bonding resin of All Bond 2 (Bisco, USA) were measured simultaneously with FT-NIR spectroscopy according to increasing light-cure times (10, 20, 30, and 60 s) so as to evaluate their effect on the microtensile bond strength. The bonded interfaces were evaluated using scanning electron microscopy. Excessive irradiation of light-curing adhesives increased the DC, but decreased the OIL thickness. When the OIL was significantly thin by curing the adhesives for 30 or 60 s, defects were observed at the interface between the AL and the CR, as well as at the interface between the AL and the hybrid layer. When the OIL was thick, free radicals from the overlying CR may have diffused into the unreacted monomer mixtures of the OIL, chemically connecting the cured AL and the newly curing composite. It was found that to obtain maximum dentin bond strength, light-curing adhesives should be cured for the irradiation time recommended by the manufacturer.

The effect of consistency, specimen geometry and adhesion on the axial polymerization shrinkage measurement of light cured composites.

OBJECTIVES: This study investigated the effect of the consistency, specimen geometry and adhesion on the measurements of axial polymerization shrinkage of light cured composite resins using an axial shrinkage-measuring device. METHODS: Four commercially available composites were examined: an anterior posterior hybrid composite Z100, a posterior packable composite P60 and two flowable composites, Filtek flow and Tetric flow. The axial polymerization shrinkage of the composites was determined using a 'bonded disc method' and 'non-bonded' free shrinkage method at varying C-factors by altering the specimen geometry. These measured axial shrinkages were compared with the free volumetric shrinkages. The consistency of the composites was also compared using a squeeze test. RESULTS: Using the non-bonded method, the axial shrinkage was approximately one third of the true volumetric shrinkage as a result of isotropic contraction. However, in the bonded disc method, the axial shrinkage increased up to the volumetric shrinkage by anisotropic contraction as the bonded surface increased. The axial shrinkage increased with the increasing C-factor. It approached the true volumetric shrinkage and reached a plateau at near a C-factor of 5-6. However, in flowable composites, a lower level of axial shrinkage was measured by the compensational radial flow. SIGNIFICANCE: When estimating the volumetric shrinkage from the axial shrinkage measured using the bonded disc method, the C-factor of the specimen should be higher than 5 and the consistency of the composite is also an important factor that needs to be considered.

Elemental analysis of caries-affected root dentin and artificially demineralized dentin.

OBJECTIVES: This study aimed to analyze the mineral composition of naturally- and artificially-produced caries-affected root dentin and to determine the elemental incorporation of resin-modified glass ionomer (RMGI) into the demineralized dentin. MATERIALS AND METHODS: Box-formed cavities were prepared on buccal and lingual root surfaces of sound human premolars (n = 15). One cavity was exposed to a microbial caries model using a strain of Streptococcus mutans. The other cavity was subjected to a chemical model under pH cycling. Premolars and molars with root surface caries were used as a natural caries model (n = 15). Outer caries lesion was removed using a carbide bur and a hand excavator under a dyeing technique and restored with RMGI (FujiII LC, GC Corp.). The weight percentages of calcium (Ca), phosphate (P), and strontium (Sr) and the widths of demineralized dentin were determined by electron probe microanalysis and compared among the groups using ANOVA and Tukey test (p < 0.05). RESULTS: There was a pattern of demineralization in all models, as visualized with scanning electron microscopy. Artificial models induced greater losses of Ca and P and larger widths of demineralized dentin than did a natural caries model (p < 0.05). Sr was diffused into the demineralized dentin layer from RMGI. CONCLUSIONS: Both microbial and chemical caries models produced similar patterns of mineral composition on the caries-affected dentin. However, the artificial lesions had a relatively larger extent of demineralization than did the natural lesions. RMGI was incorporated into the superficial layer of the caries-affected dentin.

Effect of the hydrophilic nanofiller loading on the mechanical properties and the microtensile bond strength of an ethanol-based one-bottle dentin adhesive.

This study evaluated the hypothesis that if hydrophilic nanofillers were dispersed evenly within the adhesive layer under moist conditions, adding them to a one-bottle dentin adhesive might improve the mechanical properties of the adhesive layer, and accordingly increase the bond strength. The flexural strength (FS), the degree of conversion (DC), and the microtensile bond strength (MTBS) to the dentin of four experimental ethanol-based one-bottle dentin adhesives containing 0, 0.5, 1.0, and 3.0 wt % of 12-nm hydrophilic fumed silica were evaluated, and the distribution of the nanofillers were compared using transmission electron microscopy (TEM). Although the nanofiller content did not affect the DC, the FS tended to increase with increasing nanofiller content. The MTBS appeared to increase when up to 1.0 wt % of the nanofillers were added, but they were statistically not significant. However, when 3.0 wt % of the nanofillers were added, the MTBS decreased significantly comparing to the adhesive containing 0.5 wt % nanofillers (p < 0.05). The TEM image suggested that if the nanofillers within the adhesive were 3.0 wt % and applied to a wet dentin surface, they aggregated easily into large clusters and would decrease the MTBS.