Assessment of flexural strength and color alteration of heat-polymerized acrylic resins after simulated use of denture cleansers

The purpose of this study was to assess flexural strength and color alteration of acrylic resins immersed in denture cleansers for different periods of time. Rectangular specimens (65 x 10 x 3mm) made from three heat-polymerized acrylic resins (Lucitone 550, QC-20 and Triplex) were assigned to three denture cleansers groups (Bony Plus, Corega Tabs and Efferdent Plus) and a control group (immersion in water). Soaking trials of 15 min and 8 h simulated 30 days of use. Flexural strength testing was carried out with 105 specimens on a universal testing machine. Color alterations were visually assessed by examination of photographs taken from 21 specimens. Flexural strength means (in MPa) were analyzed statistically by analysis of variance and Tukey's test at 5% significance level. There were significant differences (p<0.01) among the resins Lucitone (89.439 +/- 7.962), Triplex (88.024 +/- 5.167) and QC-20 (83.379 +/- 7.153). No significant differences (p>0.05) were found either among the denture cleansers (Bony Plus = 87.693 +/- 6.943; Corega Tabs = 86.955 +/- 7.114; Efferdent Plus = 86.195 +/- 7.865 and control = 86.536 +/- 7.012) or between the soaking periods (15 min = 86.875 +/- 7.625 and 8 h = 87.432 +/- 7.355) throughout the soaking cycles simulating 30 days of use. No color alterations were identified by visual examination. The findings of this study showed that chemical denture cleansers used according to the manufacturers' specifications did not cause flexural strength alterations or color changes in heat-polymerized acrylic resins submitted to soaking cycles that simulated 30 days of use.     

Evaluation of the Candida albicans removal and mechanical properties of denture acrylics cleaned by a low-cost powered toothbrush

PurposeTo investigate the effects of using a low-cost powered toothbrush for cleaning on dental prostheses made of heat polymerized poly(methyl methacrylate), PMMA.MethodsHeat cured PMMA specimens beam with the dimensions of 45.0 mm × 6.5 mm × 4.5 mm were fabricated. The specimens were kept in water storage at 37 °C constant temperature for 0, 1, 7, 15, 30 and 60 days and randomly assigned for testing or control. Test specimens underwent brushing by using a powered toothbrush at an applied force of 2.00 N for 22 min with water as medium. Surface roughness measurement (R_a), flexural strength and efficacy of brushing to remove coated Candida albicans biofilm were investigated.ResultsThe results of the mean surface roughness value and the flexural strength were analysed by using two-way ANOVA and Tukey post hoc test at 5% significance level. In general, the specimens showed no significant changes in flexural strength after brushing. However, the flexural strength and the surface roughness value were significantly lower in specimens group after 7 days in water storage compared to the control. SEM micrographs of post-brushed specimens revealed satisfactory removal of C. albicans biofilm.ConclusionA low-cost powered toothbrush together with a liquid medium successfully removed C. albicans biofilm on dental acrylic PMMA-based prostheses, without compromising the mechanical properties.     

Effect of changes in sintering parameters on monolithic translucent zirconia

ObjectivesAim of this study was to evaluate the effect of different sintering parameters on color reproduction, translucency and biaxial flexural strength of monolithic zirconia.MethodsTranslucent zirconia discs having 15 mm diameter, 1 mm thickness, and shade A3 were milled and divided according to the sintering temperatures (1460 °C, 1530 °C, and 1600 °C) into three groups (n = 30). Each group was later divided into three subgroups (n = 10) according to the sintering holding time (1, 2, and 4 h). Easyshade spectrophotometer (Vita, Bad Säckingen, Germany) was used to obtain the ΔE between the specimens and the shade A3. Mean ΔE values below 3.0 were considered “clinically imperceptible”, ΔE values between 3.0 and 5.0 were considered “clinically acceptable” and ΔE values above 5.0 were considered “clinically unacceptable”. Contrast ratio (CR) was obtained after comparing the reflectance of light through the specimens over black and white background. Biaxial flexural strength was tested using the piston-on-three balls technique in a universal testing machine.ResultsMean ΔE results ranged from 4.4 to 2.2. Statistically significant decrease in the Delta E was observed as the sintering time and temperature increased. CR decreased from 0.75 to 0.68 as the sintering time and temperature increased. No significant change in the biaxial flexural strength was observed.SignificanceSintering zirconia using long cycles and high temperatures will result in reduction of ΔE and CR. Biaxial flexural strength is not affected by changes in the evaluated sintering parameters.     

Self-cured resin modified by quaternary ammonium methacrylates and chlorhexidine: Cytotoxicity,antimicrobial, physical,and mechanical properties

ObjectiveTo evaluate the addition of dimethylaminohexadecyl methacrylate (DMAHDM) and chlorhexidine diacetate on cytotoxicity, antimicrobial activity, physical, and mechanical properties of a self-cured resin.Methods132 disk-shaped and 48 rectangular specimens were divided into four experimental groups as described: Control Group (CG – no addition), dCHX (1%), DMAHDM (5%), and DMAHDM + dCHX (5% + 1%). The biofilm viability, flexural strength (FS - ISO 20795-1:2013), surface roughness (SR), and color stability (ΔE) were analyzed after being stored for 4 weeks in distilled water and immersed for 72 h in coffee. Cytotoxicity was measured after 24 h, 3, and 7 days of elution using an MTT test on L929 cells (ISO 10993-5:2009). SR and ΔE were measured by a contact profilometer and a spectrophotometer using the CIELab parameter. Data were submitted to ANOVA and Bonferroni’s/Tukey’s tests (p ≤ 0.05).ResultsSignificant antimicrobial activity against Streptococcus mutans and Candida albicans was detected in all groups when compared to the CG (p < 0.05). Only the dCHX group, in 24 h of elution, demonstrated no cytotoxicity effects. There was a statistical difference for FS on the tested groups (p < 0.05). No differences were detected in the initial roughness’ measurements among the groups (p > 0.05). However, after storage and immersion in coffee, the groups containing DMAHDM presented with rougher surfaces and significantly lower color stability compared to the control (p < 0.05).SignificanceThe addition of dCHX and DMAHDM in self-cured resin presented antimicrobial properties; however, cytotoxicity, physical, and mechanical properties were compromised.     

The effect of TiO2 and SiO2 nanoparticles on flexural strength of poly (methyl methacrylate) acrylic resins

PurposeTiO₂ and SiO₂ nanoparticles are products of nanotechnology which have been incorporated to acrylic resins (AR) in order to induce antimicrobial properties. However, as additives they can affect the mechanical properties of the final product. The aim of this study was to survey the effects of TiO₂ and SiO₂ nanoparticles on flexural strength (Fs) of poly (methyl methacrylate) acrylic resins.MethodsAcrylic specimens (Selecta Plus) in size of 5 × 10 (±0.2) × 3.3 (±0.2) mm were prepared and divided into 7 groups: AR containing nanoTiO₂, SiO₂ and TiO₂ with SiO₂ in two concentration of 1% and 0.5%, in addition to a control group. To prepare nano AR, nanoparticles were added to the monomer. All specimens were stored in 37 °C distilled water and underwent Fs test by universal testing machine (Zwick).ResultsThe maximum mean flexural strength (43.5 MPa) belongs to the control group and AR containing 0.5% of both TiO₂ and SiO₂ demonstrated the minimum mean Fs (30.1 MPa). Resins contained TiO₂, demonstrated lower values of Fs than those contained SiO₂ with the same concentration, but the differences were not significant (P > 0.05).ConclusionIncorporation of TiO₂ and SiO₂ nanoparticles into acrylic resins can adversely affect the flexural strength of the final products, and this effect is directly correlated with the concentration of nanoparticles.     

Comparative effects of tungsten,diamond burs and laser for residual adhesive removal after orthodontic debonding on flexural strength,surface roughness and phase transformation of high-translucent zirconia: An in vitro study

ObjectivesInformation regarding the effects of orthodontic bracket debonding on zirconia restorations, and the preferred method for residual adhesive removal from the zirconia restoration surface is lacking. Thus, this study aimed to assess the effects of different methods of residual adhesive removal after orthodontic bracket debonding on flexural strength, surface roughness, and phase transformation of high-translucent (HT) zirconia.Materials and methodsThis in vitro study evaluated 72 bar-shaped HT zirconia specimens; 18 specimens were assigned to the control group. Metal brackets were bonded to the remaining specimens by resin cement. After bracket debonding, the residual adhesive on the surface of specimens was removed by three methods (n = 18): a 30-flute tungsten-carbide (TC) bur at low speed, an ultrafine diamond bur at high speed, and Er:YAG laser irradiation. The surface roughness (Ra and Rz) was measured. X-ray diffraction (XRD) analysis was carried out, and the flexural strength was measured as well. Data were statistically analyzed (α = 0.05).ResultsBefore polishing, all methods increased the Ra and Rz values (P < 0.05) except for the diamond bur yielding a Rz value comparable to that of the control group. The Ra values of the test groups were comparable after polishing, and still higher than that of the control group (P < 0.05). The flexural strength of all three test groups was comparable (P > 0.05), and significantly lower than that of the control group (P < 0.001). The monoclinic phase was not observed in any group.ConclusionsOrthodontic bracket debonding adversely affects the surface roughness and flexural strength of zirconia despite polishing.     

The effect of antifungal agents on surface properties of poly(methyl methacrylate) and its relation to adherence of Candida albicans

PurposeCandida-associated denture stomatitis is the most prevalent form of oral candidosis affecting 65% of denture wearers. Failure of therapy and recurrence of infection are not uncommon and the continuous use of antifungal agents may affect the surface properties of the denture material and may contribute to Candida adhesion. This study aimed to investigate surface properties of poly(methyl methacrylate) PMMA denture material before and after exposure to antifungal agents and its relation to in vitro adhesion of Candida albicans.MethodsFour groups of acrylic specimens (20 mm × 20 mm × 2.5 mm) were prepared (25 specimens in each group). Specimens were immersed in nystatin (group 1), fluconazole (group 2), distilled water (group 3) and group 4 was not exposed. Specimens were tested for surface roughness, contact angle, surface hardness and in vitro Candida adherence to PMMA.ResultsThe results showed that nystatin had no statistically significant effect on surface hardness (P > 0.05), but had a statistically significant effect on surface roughness, contact angle, and Candida adhesion to PMMA (P < 0.05). On the other hand, fluconazole had no statistically significant effect on surface hardness or roughness (P > 0.05), but had a statistically significant effect on contact angle, and Candida adhesion to PMMA (P < 0.05). Distilled water had no statistically significant effect on surface hardness, roughness, contact angle, or Candida adhesion to PMMA (P > 0.05).ConclusionsExposure of PMMA to nystatin may induce changes in roughness, wettability while exposure to fluconazole may affect surface free energy and therefore may increase Candida adhesion to it.     

Effects of low-energy electron beam irradiation on flexural properties of self-curing acrylic resin

PurposeThe purpose of this study was to confirm the effectiveness of LEB irradiation onto the polymer powder for improving the mechanical properties of self-curing acrylic resin.MethodsThe polymer powder of self-curing acrylic resin was irradiated with total LEB doses of 25, 50, 75 or 100 kGy. Non-irradiated powder was used as a control. After LEB irradiation, ESR measurement, weight-average molecular weight measurement and three-point bending test were performed.ResultsESR spectrum of control had no peaks. After LEB irradiation, nine peaks were observed in each ESR spectrum, which indicates the presence of free radicals from main polymer chain. The quantity of free radicals increased linearly up to 100 kGy. Calibrated weight-average molecular weights were as follows: control, 960,000; 25 kGy, 500,000; 50 kGy, 440,000; 75 kGy, 410,000; and 100 kGy, 390,000. Molecular weight decreased with increasing LEB irradiation dose. The mean values of flexural strength (MPa) were as follows: control, 61.5 ± 3.0; 25 kGy, 68.1 ± 4.0; 50 kGy, 73.0 ± 1.9; 75 kGy, 70.4 ± 3.6; and 100 kGy, 67.7 ± 2.3. The flexural strength of the specimens cured with the LEB-irradiated powder was significantly higher than that of control (p < 0.01). These results indicate that flexural strength of polymer materials cured with the LEB-irradiated powder increases because of increase in cross-linking structure.ConclusionIt is confirmed that LEB irradiation onto the polymer powder of self-curing acrylic resin improves the flexural strength.     

Evaluation of antibiofilm and mechanical properties of new nanocomposites based on acrylic resins and silver vanadate nanoparticles

ObjectiveThe purpose of this study was evaluate, for the first time, the impact of incorporation of nanostructured silver vanadate (β-AgVO₃) in antibiofilm and mechanical properties of dental acrylic resins (poly(methyl methacrylate), PMMA).DesignThe β-AgVO₃ was synthesized and characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy, and microanalysis (SEM/EDS). Resins specimens were prepared with 0–10% wt.% β-AgVO₃ and characterized by SEM, XRD and optical microscopy_. The antibiofim activity of the samples against Candida albicans and Streptococcus mutans was investigated by XTT reduction test, colony-forming units (CFUs), and confocal laser scanning microscopy (CLSM). The flexural strength, hardness, and surface roughness of the samples containing β-AgVO₃ were compared with the pure PMMA matrix.ResultsThe incorporation of 10% β-AgVO₃ significantly reduced the metabolic activity of C. albicans and S. mutans (p < 0.05). There was a reduction in microbial load (CFU/mL) of microorganisms for the different concentrations used (p < 0.05), which was confirmed by confocal microscopy. The addition of β-AgVO₃ did not change the mechanical properties of hardness and surface roughness of the resins (p > 0.05). However, flexural strength decreased with the addition of amounts greater than 1% (p < 0.05).Conclusionsβ-AgVO₃ additions in dental acrylic resin may have an impact on inhibition of biofilm of main microorganisms associated with dental prostheses. However, the viability of clinical use should be evaluated in function of changed promoted in some mechanical properties.     

Effect of etching time and resin bond on the flexural strength of IPS e.max Press glass ceramic

ObjectiveTo evaluate the effect of hydrofluoric acid (HFA) etching time and resin cement bond on the flexural strength of IPS e.max^® Press glass ceramic.MethodsTwo hundred and ten bars, 25 mm × 3 mm × 2 mm, were made from IPS e.max^® Press ingots through lost-wax, hot-pressed ceramic fabrication technology and randomly divided into five groups with forty-two per group after polishing. The ceramic surfaces of different groups were etched by 9.5% hydrofluoric acid gel for 0, 20, 40, 60 and 120 s respectively. Two specimens of each group were selected randomly to examine the surface roughness and 3-dimensional topography with atomic force microscope (AFM), and microstructure was analyzed by the field emission scanning electron microscope (FE-SEM). Then each group were subdivided into two subgroups (n = 20). One subgroup of this material was selected to receive a thin (approximately 0.1 mm) layer of resin luting agent (Variolink N) whereas the other subgroup remained unaltered. Half of subgroup's specimens were thermocycled 10,000 times before a 3-point bending test in order to determine the flexural strength. Interface between resin cement and ceramic was examined with field emission scanning electronic microscope.ResultsRoughness values increased with increasing etching time. The mean flexural strength values of group 0 s, 20 s, 40 s, 60 s and 120 s were 384 ± 33, 347 ± 43, 330 ± 53, 327 ± 67 and 317 ± 41 MPa respectively. Increasing HF etching times reduced the mean flexural strength (p < 0.05). However, the mean flexural strength of each group, except group 0 s, increased significantly to 420 ± 31, 435 ± 50, 400 ± 39 and 412 ± 58 MPa after the application of dual-curing resin cement. In the present investigation, no significant differences after thermocycling on the flexural strengths were evident.SignificanceOvertime HF etching could have a wakening effect on IPS e.max^® Press glass ceramic, but resin cement bonding to appropriately etched surface would strengthen the dental ceramic.     

Shear bond strength between light polymerized hard reline resin and denture base resin subjected to long term water immersion

Statement of the problemThe effect of long-term water immersion on the shear bond strength between denture base resin and Triad visible-light-polymerized (VLP) direct hard reline resin is not known.PurposeThe aim of this study was to investigate the bonding characteristics of Triad VLP direct hard reline resin to heat-polymerized denture base resin subjected to long-term water immersion.Material and methodsNinety circular disks, 15 mm in diameter and 3 mm thick, of denture base resin were polymerized from a gypsum mold. Sixty specimens were subjected to water immersion and 30 were stored at ambient room temperature for 4 months. Thirty water-immersed specimens were dried with gauze (group 1), while the other 30 water-immersed specimens were dried with a hair dryer (group 2). The dry specimens (n = 30) represented the control group (group 3). All specimens were air abraded and painted with bonding agent before packing Triad VLP direct hard-reline resin. Specimens in each group were subjected to thermal cycling for 50,000 cycles between 4 °C and 60 °C water baths with 1-min dwell time at each temperature. The bond strength at which the bond failed under stress was recorded using a universal testing machine. One-way ANOVA and Tukey post hoc comparison were applied to find significant differences between groups (α = 0.05).ResultsSignificant differences in mean shear bond strength among the specimens existed because of variable water content in the denture base resin (P < 0.05). Group 3 (dry) was higher than group 2 (desiccated), and the lowest was group 1 (saturated).ConclusionThe shear bond strength of Triad VLP direct hard reline resin to denture base resin depended on the water content in the denture base resin. The dry denture base resin demonstrated superior bond strength compared with the desiccated and water-saturated denture base resins.     

Color change of some aesthetic dental materials: Effect of immersion solutions and finishing of their surfaces

ObjectivesThe purpose of this research was to evaluate the color change of five aesthetic dental materials, before and after immersion in distilled water and blue food color solution for 7 and 21 days, and to study the effect of finishing the surfaces on any color change.MethodsDisc shaped samples of five types of light curing composite (A2) (n = 10 samples/composite) were prepared and all samples were light-cured with a Plasma Arc light cure unit for ten seconds. One side of each sample disc was finished and polished with a Super-Snap system all samples. After 24 h, color measurements of each sample were conducted using a digital spectrophotometer. Five sample discs from each composite group were immersed in 30 ml of food color solution for 7 and 21 days, while the remaining five sample discs were immersed in 30 ml of distilled water as a control. Color measurements were repeated for all samples at 7 and 21 days after immersion. The color changes were statistically analyzed using t-tests within the same group. A result was considered statistically significant at α = 0.05.ResultsThe color differences (ΔE) ranged from 0.4 to 4.66 and statistically significant differences on the finished and unfinished surfaces were observed after immersion in the food color solution for 7 days. No significant differences were found in any group after immersion in the food color solution for 21 days. The Tetric EvoCeram and Arabesk groups showed less color differences after 7 and 21 days than other composites.ConclusionFinished composite surfaces showed less coloration than unfinished surfaces after 7 days, but all surfaces (finished and unfinished) were highly colored for all composite types after 21 days.     

Effect of water-bath post-polymerization on the mechanical properties,degree of conversion,and leaching of residual compounds of hard chairside reline resins

ObjectivesThis study evaluated the effect of water-bath post-polymerization at 55 °C for 10 min (WB) on the content and leaching of residual compounds, degree of conversion, flexural strength, and hardness of hard chairside reline resins (Kooliner: K, New Truliner: N, Ufi Gel hard: U, and Tokuso Rebase Fast: T).MethodsLeaching experiments were made by storing specimens (n = 48) in artificial saliva at 37 ± 1 °C and analyzing residual monomers and plasticizer by HPLC. Analysis of residual monomer and plasticizer content (n = 48) was also made by HPLC. Degree of conversion (n = 40) was analyzed by using FT-Raman spectroscopy. A 3-point loading test was used to evaluate the flexural strength of the specimens (n = 80). One fragment of each flexural test specimen was then submitted to Vickers microhardness test.ResultsWB produced a significant decrease (p < 0.050) in the amount of residual compounds eluted from the materials within the first hour of immersion. With the exception of material U, WB decreased the duration of release of the residual compounds evaluated. All materials evaluated exhibited significantly (p < 0.050) lower values of residual monomer and plasticizer (material N) after WB compared with the control groups. WB increased the degree of conversion of K and T resins and the hardness of N, K, and T resins (p < 0.050). Only material K showed an increase in flexural strength after WB (p < 0.050).SignificanceImmersion of relined dentures in water at 55 °C for 10 min can be used to reduce the amounts and duration of release of residual compounds and improve mechanical properties of some of the materials evaluated.     

Evaluation of physical properties of fiber-reinforced composite resin

ObjectivesThis study aimed to investigate physical properties of a fiber-reinforced CAD/CAM resin disc, which included woven layers of multi-directional glass fibers.MethodsFiber orientations of CAD/CAM specimens (TRINIA, SHOFU) were specified as longitudinal (L), longitudinal-rotated (LR), and anti-longitudinal (AL). A fiber-reinforced composite (everX posterior, GC (E)) and a conventional composite (Beauti core flow paste, SHOFU (B)) were also tested.A three-point bending test and a tensile test with notchless prism-shaped specimens were conducted using a universal testing machine (AUTOGRAPH AG-IS, Shimadzu). A water absorption test was also carried out after the specimens were stored in water for 24 h or 1 week. Flexural strength and fracture toughness were obtained by conducting a three-point bending test.ResultsTRINIA L and LR groups showed significantly high flexural strength (254.2 ± 22.3 and 248.8 ± 16.7 MPa, respectively). Those were approximately 2.5 times higher than those in AL, E, and B groups (96.8–98.0 MPa) (p < 0.05, ANOVA and Tukey HSD test). No significant difference was shown in flexural modulus among the experimental groups. The fracture toughness in L group (9.1 ± 0.4 MPa/m^1/2) was found to be significantly higher than those in other groups (1.9–3.0 MPa/m^1/2; p < 0.05). TRINIA group demonstrated significantly lower water absorption (4.7 ± 1.9 μg/mm³) than did E (16.1 ± 3.1 μg/mm³) and B (17.3 ± 3.7 μg/mm³) groups (p < 0.05).SignificanceTRINIA demonstrated distinct anisotropy. TRINIA can be used as a superior restorative material when specifying directions of its fiber mesh layers.     

Mechanistic aspects of fatigue crack growth behavior in resin based dental restorative composites

ObjectiveTo test the hypothesis that a commercial microhybrid resin based composite (Filtek? Z250) has superior fatigue resistance to a nanofill composite (Filtek? Supreme Plus) and to determine the related micromechanisms involved in the fatigue process.MethodsAfter 60 days of water hydration, the fatigue crack growth resistance of two different resin composites, one microhybrid (Filtek? Z250) and one nanofill (Filtek? Supreme Plus), was measured in wet conditions using compact-tension, C(T), specimens at a load ratio of 0.1 and frequency of 2 Hz. Cyclic fatigue behavior was quantified in terms of the fatigue crack growth rate, da/dN, as a function of the stress intensity range, ΔK.ResultsA sigmoidal da/dN-ΔK curve with three different fatigue crack growth regimes was identified for both composites. In general, fatigue crack growth ranged from ～10^?9 to 10^?5 m/cycle over ΔK of 0.54–0.63 MPa√m for the Z250 composite and ΔK of 0.41–0.67 MPa√m for the Supreme Plus composite. The Supreme Plus composite showed a lower fatigue threshold, ΔK_th, by ～0.13 MPa√m compared to the Z250 composite, while also showing a plateau in the fatigue crack growth curve that is likely related to environmental attack. SEM observations of the fatigue crack paths and fracture surfaces revealed an interparticle crack path and extrinsic toughening mechanisms of crack deflection and crack bridging. No fatigue degradation of reinforcing particles or clusters was found, but cluster–matrix debonding was evident in the Supreme Plus composite, also indicative of environmental attack due to water.SignificanceThis study increases the understanding of both the fatigue behavior and the micromechanisms of fatigue in resin based dental composites.     

Effect of in vitro aging on the flexural strength and probability to fracture of Y-TZP zirconia ceramics for all-ceramic restorations

ObjectivesDental zirconia restorations should present long-term clinical survival and be in service within the oral environment for many years. However, low temperature degradation could affect their mechanical properties and survival. The aim of this study was to investigate the effect of in vitro aging on the flexural strength of yttrium-stabilized (Y-TZP) zirconia ceramics for ceramic restorations.MethodsOne hundred twenty bar-shaped specimens were prepared from two ceramics (ZENO Zr (WI) and IPS e.max^® ZirCAD (IV)), and loaded until fracture according to ISO 6872. The specimens from each ceramic (n_x = 60) were divided in three groups (control, aged for 5 h, aged for 10 h). One-way ANOVA was used to assess statistically significant differences among flexural strength values (P < 0.05). The variability of the flexural strength values was analyzed using the two-parameter Weibull distribution function, which was applied for the estimation of Weibull modulus (m) and characteristic strength (σ₀). The crystalline phase polymorphs of the materials (tetragonal, t, and monoclinic, m, zirconia) were investigated by X-ray diffraction (XRD) analysis, Raman spectroscopy and Fourier transform infrared (FTIR) spectroscopy.ResultsA slight increase of the flexural strength after 5 h, and a decrease after 10 h of aging, was recorded for both ceramics, however statistically significant was for the WI group (P < 0.05). Both ceramics presented a t → m phase transformation, with the m-phase increasing from 4 to 5% at 5 h to around 15% after 10 h.SignificanceThe significant reduction of the flexural strength after 10 h of in vitro aging, suggests high fracture probability for one of the zirconia ceramics tested.     

Influence of surface treatments on the bond strength of repaired resin composite restorative materials

ObjectivesThe purpose of this study was to investigate the effect of different surface treatments on the bond strength (σ) of repaired, aged resin composites (ARC).MethodsForty blocks of Filtek Z250? (Z2) and Filtek Supreme? (SU) were made, stored in deionized water for 9 days, and randomly assigned to different surface treatment groups: hydrofluoric acid etching (HA), abrasion using a coarse diamond bur (AB), sandblasting with alumina particles (AO), and silica coating (SC). The average roughness (Ra) of the treated surfaces was measured with a profilometer. An adhesive system (SB-Adper Single Bond Plus?), a silane (SI) or a combination of both (SI + SB) were applied after each surface treatment. The blocks were restored with the same composite (RC) and cut to produce bars that were turned into dumbbell-shaped specimens (0.5 mm²) using a precision grinding machine. The specimens (n = 30) were tested in tension to fracture and the microtensile bond strength (σ) values were calculated (MPa). Data were analyzed using three-way ANOVA/Tukey test (α = 0.05) and Weibull statistics.ResultsAO and SC produced similar Ra values, which were greater than the value produced by HA. The σ values were statistically influenced by the type of RC (p < 0.0001), by the surface treatment (p < 0.0001) and by the surface coating (p < 0.0001). Treating the surface of Z2 with SC + SB produced the greatest m value.SignificanceAO and SC produced the greatest σ values, irrespective of the primer (SI, SB or SI + SB) used. Yet, the RC microstructure influenced the mean σ values, which were greater for Z2 than for SU. The HA should not be used for repairing ARC.     

Influence of pigments and opacifiers on color stability of silicone maxillofacial elastomer

ObjectivesTo determine the effects of opacifiers and silicone pigments on the color stability of silicone A-2000 maxillofacial prosthetic elastomers subjected to artificial aging.MethodsSeventy-five groups (n = 5) were made by various combinations (5%, 10%, and 15%) of four dry earth opacifiers (Georgia kaolin, Gk; calcined kaolin, Ck; Artskin white, Aw; titanium white dry pigment, Td); and 1 silicone pigment white (Sw) with one of 5 silicone pigments (no pigment (control), red (Pr), yellow (Py), burnt sienna (Po), and a mixture of Pr + Py + Po). A reflection spectrophotometer was used for color measurements. Color differences (ΔE*) between baseline and after an energy exposure of 450 kJ/m² in an artificial aging chamber were calculated. A ΔE* = 3.0 was used as 50:50% acceptability threshold in result interpretation, while ΔE* = 1.1 was used as 50:50% perceptibility threshold. Means were compared by Fisher's PLSD intervals at the 0.05 level of significance. Color differences after aging were subjected to three-way analysis of variance.ResultsYellow ochre mixed with all opacifiers at all intervals had increased ΔE* values significantly from 0.7–2.1 up to 3.8–10.3. When mixed groups were considered, at 5%, Gk exhibited the smallest color changes, followed by Td < Aw = Sw < Ck, respectively. At 10%, Aw < Td < Gk < Sw = Ck. At 15%, Td < Aw < Gk = Sw < Ck (< indicates p < 0.0001 and = indicates p > 0.05). The smallest color differences, observed for opacifier groups, were recorded for Gk at 5%, and Td and Aw at 10% and 15%. Overall, 15% Td exhibited the smallest, whereas 5% Ck exhibited the most pronounced color change after artificial aging. All ΔE* values were below the 50:50% acceptability threshold, indicating acceptable color stability. Color differences for 10% and 15% of Aw and Td were below 50:50% perceptibility thresholds, indicating excellent color stability.ConclusionSilicone pigments mixed with 10% and 15% Artskin white and titanium white dry pigment opacifiers protected silicone A-2000 from color degradation over time. Yellow silicone pigment significantly affected color stability of all opacifiers especially silicone pigment white and calcined kaolin.     

Effect of propionaldehyde or 2,3-butanedione additives on the mechanical properties of Bis-GMA analog-based composites

ObjectivesThe purpose of this study was to evaluate the effect of two additives, propionaldehyde/aldehyde or 2,3-butanedione/diketone, on mechanical properties of Bis-GMA-based composites containing TEGDMA, propoxylated Bis-GMA (CH₃Bis-GMA) or propoxylated fluorinated Bis-GMA (CF₃Bis-GMA).MethodsThree control composites, Bis-GMA/diluent monomer (25/75 mol%), and six test composites, Bis-GMA/diluent monomer/aldehyde or diketone (17/51/32 mol%) were prepared. All composites contained hybrid treated filler (barium aluminosilicate glass/pyrogenic silica; 60 wt%), and 0.2 wt% each of camphorquinone and N,N-dimethyl-p-toluidine. Degree of conversion (DC%), flexural strength (FS), modulus of elasticity (E), modulus of resilience (R) and diametral tensile strength (DTS) were determined. DC% (n = 3) was investigated by FT-IR. For FS and E, beam-shaped specimens (25 mm × 2 mm × 2 mm) were prepared (n = 6), stored for 7 days in 37 °C deionized water and tested on an Instron utilizing a three-point loading jig (0.5 mm/min). The R-values were obtained from the following equation: R = (FS)²/2E. For DTS, cylindrical specimens (4 mm × 8 mm) were prepared (n = 6), stored for 7 days in 37 °C deionized water and diametrically loaded on an Instron (0.5 mm/min). Data were analyzed by one-way ANOVA and Tukey's test (α = 0.05).ResultsIncorporation of additives led to an increase in DC%, FS and E for Bis-GMA/TEGDMA and Bis-GMA/CH₃Bis-GMA systems. R-values for all systems were unaffected by addition of additives. They had no significant effect on DC% or mechanical properties of Bis-GMA/CF₃Bis-GMA.SignificanceThe findings correlate with the ability of additives to improve degree of conversion of some composite systems thereby enhancing mechanical properties.     

The addition of nanostructured hydroxyapatite to an experimental adhesive resin

ObjectivesWas produced nanostructured hydroxyapatite (HA_nano) and evaluated the influence of its incorporation in an adhesive resin.MethodsHA_nano was produced by a flame-based process and was characterized by scanning electron microscopy. The surface area, particle size, micro-Raman and cytotoxicity were evaluated. The organic phase was formulated by mixing 50 wt.% Bis-GMA, 25 wt.% TEGDMA, and 25 wt.% HEMA. HA_nano was added at seven different concentrations: 0; 0.5; 1; 2; 5; 10 and 20 wt.%. Adhesive resins with hydroxyapatite incorporation were evaluated for their radiopacity, degree of conversion, flexural strength, softening in solvent and microshear bond strength. The data were analyzed by one-way ANOVA and Tukey's post hoc test (α = 0.05), except for softening in solvent (paired t-test) and cytotoxicity (two-way ANOVA and Bonferroni).ResultsHA_nano presented 15.096 m²/g of specific surface area and a mean size of 26.7 nm. The radiopacity values were not different from those of 1-mm aluminium. The degree of conversion ranged from 52.2 to 63.8%. The incorporation of HA_nano did not influence the flexural strength, which ranged from 123.3 to 143.4 MPa. The percentage of reduction of the microhardness after immersion in the solvent became lower as the HA_nano concentration increased. The addition of 2% nanostructured hydroxyapatite resulted in a higher value of microshear bond strength than the control group (p < 0.05).ConclusionsThe incorporation of 2% of nanostructured hydroxyapatite into an adhesive resin presented the best results.Clinical significanceThe incorporation of nanostructured hydroxyapatite increases the adhesive properties and may be a promising filler for adhesive resin.