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Statement of problem

A major issue related to the failure of endodontically treated teeth restored with an intraradicular post is gradual debonding of the glass fiber post, resin cement, and dentin.

Purpose

The purpose of this in vitro study was to evaluate the influence of laser irradiation on the push-out bond strength of glass fiber posts to radicular dentin.

Material and methods

Thirty-two mandibular bovine incisors were endodontically treated and divided into 4 groups according to the surface treatment of the post: silane control (GC); irradiation with Er:YAG (GYAG); irradiation with Er,Cr:YSGG (GCR); and 980-nm diode laser (GDI) application. After surface treatment, the glass fiber posts were cemented with dual adhesive resin cement. To evaluate bond strength, the specimens were subjected to a push-out test at a crosshead speed of 0.5 mm/min using a universal testing machine. Failure mode was analyzed using stereomicroscopy. The surface morphology was evaluated qualitatively after surface treatment by using confocal laser microscopy. The push-out test data (MPa) were analyzed using a linear mixed effects model and the Bonferroni test (α=.05).

Results

At the cervical third, no significant differences were observed between the GC and GCR groups (P=1.00), and both of the groups exhibited higher bond strength. At the middle and apical thirds, the GCR group revealed higher bond strength, which was significantly different from that observed in all other groups (P<.05). No statistical differences were observed among the other tested protocols (GC, GYAG, and GDI groups; P=1.00). Adhesive failure was predominant in all groups.

Conclusions

Irradiation with Er,Cr:YSGG improved the bond strength of the cement-post-dentin interfaces.  相似文献   

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Statement of problem

Currently, which type of suprastructure is preferred when fabricating implant-retained craniofacial prostheses is unknown.

Purpose

The purpose of this systematic review was to identify the best retention system (bar-clips versus magnets) for implant-retained craniofacial prostheses.

Material and methods

This systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A systematic search of Medline/PubMed and Web of Science databases for clinical trials was conducted on implant-retained craniofacial prostheses published between 2005 and 2015. English-language studies that directly compared different types of retention systems or presented information on implant survival, periimplant soft tissue reactions, and prosthetic complications were included. Nonclinical studies were excluded to eliminate bias.

Results

A total to 173 studies were identified, of which 10 satisfied the inclusion criteria. In total, 492 participants were included in these studies. Four selected studies displayed detailed information with regard to the number of implant failures according to the retention system. As reported, 29 (18.2%) of 159 implants with magnets failed, whereas 25 (31.6%) of 79 implants with bars failed. Overall auricular superstructures showed the highest survival (99.08%). In addition, 55.4% of all participants in the selected studies showed grade 0 of periimplant soft tissue reactions.

Conclusions

A systematic search for clinical studies resulted in few studies with a short-term follow-up and small number of participants. The limited data collected indicated that magnets show fewer complications than bar superstructures; however, no hard conclusions could be drawn. Further research, preferably in the form of clinical trials, is needed to validate these findings.  相似文献   

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Statement of problem

The prevalence of complete edentulism remains high in the elderly, and previous data have shown that poor denture hygiene is common among patients with edentulism.

Purpose

The purpose of this randomized crossover trial was to evaluate the efficacy of denture cleansers in terms of biofilm removal, antimicrobial action, and the remission of denture stomatitis.

Material and methods

Fifty denture wearers with denture stomatitis were instructed to brush their dentures (brush and soap) and to soak them (20 minutes/14 days) in 4 solutions, as follows: C (control), 0.85% saline; SH1, 0.1% sodium hypochlorite; SH2, 0.2% sodium hypochlorite; and RC, 8% Ricinus communis. The biofilm in the intaglio surface of maxillary dentures was stained, photographed, and quantified by software (Image Tool). It was then collected (brushed with saline solution), and the obtained suspension was diluted (100 to 10-3) and seeded (50 μL) in CHROMagar for Candida spp. After incubation, colony-forming units per milliliter values were calculated. Denture stomatitis remission was classified according to the Newton classification. Data were analyzed by Friedman (α=.05) and Wilcoxon tests and corrected by the Bonferroni test (α=.005).

Results

SH1 (mean rank [MR]=1.98) and SH2 (MR=1.64) showed lower biofilm coverage than C (MR=3.73) that was similar to RC (MR=2.92). SH1 (MR=2.43) and SH2 (MR=2.10) showed antimicrobial action for Candida spp, and RC (MR=3.36) showed similar results to C (MR=3.51) and baseline (MR=3.50). Clinical signs of denture stomatitis were reduced by SH1 (MR=2.44), while SH2 (MR=2.56) and RC (MR=2.74) showed intermediate results.

Conclusions

The two sodium hypochlorite solutions were the most effective means of biofilm control. All tested solutions were effective in reducing the signs of denture stomatitis.  相似文献   

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Statement of problemAnalysis of the wear coefficient (k) of the superficial and deep layers of acrylic resin teeth can help predict denture durability, but little has been published on the wear coefficient of denture teeth.PurposeThe purpose of this in vitro study was to determine the k value for the superficial and deep layers of the acrylic resin teeth of 6 different brands by using the fixed-ball microabrasive wear method.Material and methodsSix artificial tooth specimens of 4 commercial brands were tested: Artiplus IPN (Ar), Biotone IPN (Bi), Magister (Ma), Premium (Pr), Trilux (Tr), and SR Vivodent (Vi). Two specimens from each brand were created, one for the superficial layer and the other for the deep layer. The test was performed on fixed-ball microabrasive wear equipment set to operate at a constant normal force of 0.5 N and a rotation speed of 100 rpm. The test time periods were 5.00, 8.33, and 11.66 minutes. The characteristics of the wear craters were measured by using an optical microscope at a magnification of ×50 and Leica Microsystems software. Wear coefficient (k) values were deduced by using the Archard equation for abrasive wear, Q=k·N, and were analyzed by using 1-way analysis of variance, complemented by the Tukey HSD test (α=.05). A different analysis was used for each layer.ResultsThe analysis of variance of the wear coefficient revealed significant differences among the groups regarding the superficial layers (P=.009). The Tukey HSD test showed that the k values for the superficial layers of Artiplus specimens were significantly lower than those of the Vivodent and Magister specimens.ConclusionsOne brand (Ar) presented significantly lower wear coefficient value for the surface layer. No difference in wear coefficient values was found among the tooth brands for the deep layer.  相似文献   

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Statement of problem

The accuracy of the virtual images used in digital dentistry is essential to the success of oral rehabilitation.

Purpose

The purpose of this systematic review was to estimate the mean accuracy of digital technologies used to scan facial, skeletal, and intraoral tissues.

Material and methods

A search strategy was applied in 4 databases and in the non–peer-reviewed literature from April through June 2017 and was updated in July 2017. Studies evaluating the dimensional accuracy of 3-dimensional images acquired by the scanning of hard and soft tissues were included.

Results

A total of 2093 studies were identified by the search strategy, of which 183 were initially screened for full-text reading and 34 were considered eligible for this review. The scanning of facial tissues showed deviation values ranging between 140 and 1330 μm, whereas the 3D reconstruction of the jaw bone ranged between 106 and 760 μm. The scanning of a dentate arch by intraoral and laboratorial scanners varied from 17 μm to 378 μm. For edentulous arches, the scanners showed a trueness ranging between 44.1 and 591 μm and between 19.32 and 112 μm for dental implant digital scanning.

Conclusions

The current digital technologies are reported to be accurate for specific applications. However, the scanning of edentulous arches still represents a challenge.  相似文献   

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Statement of problem

Implant-retained maxillofacial prostheses should be biocompatible, regardless of the primers and adhesives used to bond the acrylic resin and facial silicone. The authors are unaware of any study evaluating the influence of these primers and adhesives on the biocompatibility of maxillofacial prostheses.

Purpose

The purpose of this in vitro study was to evaluate the cytotoxic effect of primers and an adhesive used to bond acrylic resin and facial silicone during the fabrication of implant-retained maxillofacial prostheses.

Material and methods

Twenty-eight circular specimens made of resin and silicone were fabricated, either bonded or nonbonded with primer and adhesive. The specimens were divided into 7 groups: resin; silicone; resin+silastic medical adhesive type A+silicone; resin+DC 1205 primer silicone; resin+Sofreliner primer+silicone; resin+DC 1205 primer+silastic medical adhesive type A+silicone; and resin+Sofreliner primer+silastic medical adhesive type A+silicone. Eluates of the materials tested were prepared by setting 4 specimens of each experimental group in Falcon tubes with medium and incubating at 37°C for 24 hours. The eluate cytotoxicity was evaluated by an assay of survival/proliferation ((3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide [MTT] test) in cultures of human keratinocytes. The levels of IL1, IL6, TNFα, and the chemokine MIP-1α were evaluated by enzyme-linked immunosorbent assay. The mRNA expressions for MMP-9, TGF-β, and collagen type IV were analyzed by the real time polymerase chain reaction. Data were submitted to analysis of variance with Bonferroni post hoc tests (α=.05).

Results

An increased cell proliferation was observed for the RAS group, with statistically significant differences (P<.001) compared with the unstimulated group. The RDCpS group showed the highest IL6 concentration values (P<.001). No significant statistical difference was found in the relative quantification of mRNA for collagen type IV, MMP9, or TGFβ between the groups (P>.05).

Conclusions

The RAS group showed the highest cell proliferation percentage, while the RDCpS group exhibited the highest IL6 concentration values. No detectable levels of IL1β, TNF α, or CCL3/MIP1α were observed. The tested materials showed no toxic effects on the HaCaT cell line.  相似文献   

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Statement of problem

Although craniofacial implants have been used for retention of facial prostheses, failures are common. Titanium undergoes corrosion in the oral cavity, but the corrosion of craniofacial implants requires evaluation.

Purpose

The purpose of this in vitro study was to investigate the corrosion stability of commercially pure titanium (CP Ti) exposed to simulated human perspiration at 2 different pH levels (5.5 and 8).

Material and methods

Fifteen titanium disks were divided into 3 groups (n=5 per group). The control group was subjected to simulated body fluid (SBF) (control). Disks from the 2 experimental groups were immersed in simulated alkaline perspiration (SAKP) and simulated acidic perspiration (SACP). Electrochemical tests, including open circuit potential (3600 seconds), electrochemical impedance spectroscopy, and potentiodynamic tests were performed according to the standardized method of 3-cell electrodes. Data were analyzed by 1-way ANOVA and the Tukey honestly significant difference tests (α=.05).

Results

Simulated human perspiration reduced the corrosion stability of CP Ti (P<.05). The SBF group presented the lowest capacitance values (P<.05). SAKP and SACP groups showed increased values of capacitance and showed no statistically significant differences (P>.05) from each other. The increase in capacitance suggests that the acceleration of the ionic exchanges between the CP Ti and the electrolyte leads to a lower corrosion resistance. SAKP reduced the oxide layer resistance of CP Ti (P<.05), and an increased corrosion rate was noted in both simulated human perspiration groups.

Conclusions

Craniofacial implants can corrode when in contact with simulated human perspiration, whereas alkaline perspiration shows a more deleterious effect. Perspiration induces a more corrosive effect than simulated body fluid.  相似文献   

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Statement of problem

Improved stability of the adhesive interface can be obtained using crosslinkers. However, research on the use of crosslinkers in root dentin is lacking.

Purpose

The purpose of this in vitro study was to evaluate the effect of crosslinkers on the proteolytic activity of root dentin and on the bond strength of resin-cemented fiber posts.

Material and methods

Single root canals were obtained from premolars (n=48) and endodontically treated before being divided into 4 groups: deionized water (control), 0.5 mol/L carbodiimide, 5% proanthocyanidin, or 5% glutaraldehyde. After removing the canal sealer, the dentin was etched with phosphoric acid, followed by water rinsing and the application of the crosslinkers for 60 seconds. Fiber posts were cemented using an adhesive (Single Bond 2) and resin cement (RelyX ARC). The roots were then transversally sectioned to obtain 1 mm thick specimens from the cervical, middle, and apical thirds and then aged for 24 hours or 9 months. Nine roots per group were used for the push-out test and 3 for determining the proteolytic activity of the root dentin by in situ zymography. Bond strength data were submitted to a mixed-model ANOVA and Bonferroni tests (α=.05).

Results

Only proanthocyanidin negatively affected the 24-hour bond strength. After 9 months, a significant decrease in bond strength was seen for all groups, except for the crosslinked treated specimens from the cervical third of the root canal. Intense gelatinolytic activity was detected in the control group after 24 hours but was inhibited in the crosslinker-treated groups. Proteolytic activity was also not detected after 9 months for the groups treated with the crosslinkers, irrespective of the root canal third. Conversely, proteolytic activity increased for the specimens from the control group.

Conclusions

Although no proteolytic activity was detected in the hybrid layers along the entire root canal, dentin biomodification with crosslinkers was effective in preventing bond strength loss only in the cervical third.  相似文献   

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