Pre-heating time and exposure duration: Effects on post-irradiation properties of a thermo-viscous resin-composite

ObjectiveTo evaluate the effects of pre-heating time and exposure duration on the degree of conversion (DC), maximum rate of polymerization (RP_max), polymerization shrinkage strain (PS) and surface micro-hardness (VHN) of Viscalor.MethodsViscalor syringes were pre-heated using a Caps Warmer (VOCO, Germany) in T3 mode (at 68 °C) for 30 s (T3-30s) and 3 min (T3-3min) and then the composite paste was extruded into appropriately sized molds. Light irradiation was applied at zero distance from the upper surface with a LED-LCU of mean irradiance 1200 mW/cm² for either 20 or 40 s. The real-time polymerization kinetics and DC at 5 min and 24 h post-irradiation (DC_5min and DC_24h) were measured using ATR-FTIR (n = 3). PS was obtained with the bonded-disk technique (n = 3). Top and bottom Vickers micro-hardness (VHN_top and VHN_bottom) were measured at 5 min post-irradiation and after 24 h dry storage (n = 5). Data were analysed using one-way ANOVA, two-way ANOVA, independent t-test and Tukey post hoc tests (p < 0.05).ResultsPolymerization kinetic curves of Viscalor from 0 to 15 min were similar for different pre-heating times and exposure durations. Pre-heated Viscalor (T3-30s and T3-3min) with 40 s exposure had greater VHN_top and VHN_bottom than for Viscalor (no heat) (p < 0.05). Exposure duration did not significantly affect DC, RP_max and PS (p > 0.05). After 24 h storage, DC and VHN increased. Pre-heating did not increase the DC_24h, relative to no pre-heating (p > 0.05). Two-way ANOVA showed that there was no significant interaction between pre-heating time and exposure duration (p > 0.05).SignificanceIncreasing irradiation time from 20 to 40 s did not affect DC, RP_max or PS, but increased VHN_top. Composite pre-heating had no adverse effect through any premature polymerization. For Viscalor, 3 min pre-heating and 20 s irradiation were sufficient to provide adequate hardness, without increasing PS or compromising polymerization kinetics.     

Viscosity and stickiness of dental resin composites at elevated temperatures

ObjectiveTo investigate the influence of pre-heating different classes of dental resin composites on viscosity and stickiness at five different temperatures.MethodsSix flowable, five conventional packable, and one thermo-viscous bulk-fill resin composites were heated up to 54 °C in a plate-plate rheometer to determine their complex viscosity. Normal force measurements were carried out for the six packable materials to determine the unplugging force and unplugging work (stickiness) over the same temperature range. Data were analyzed using Kolmogorov–Smirnoff test, one-way ANOVA and Tukey Post Hoc test with α = 0.05 as level of significance.ResultsAt 23 °C packable composites showed viscosity between 6.75 and 19.14 kPa s, while flowable composites presented significantly lower viscosities between 1.31 and 2.20 kPa s. Pre-heating led to a drop of 30–82% in the viscosity of packable materials. The thermo-viscous material dropped to the level of flowables at 45 and 54 °C thus behaving as a packable composite at room temperature with flowable-like viscosity at higher temperatures. No statistically significant differences for viscosity were observed among flowable composites at any temperature.The unplugging force decreased for packable composites, while their unplugging work generally increased at elevated temperature. At 23 °C unplugging force was measured between 7.50 and 19.18 N, while pre-heating up to 54 °C led to values between 2.9 and 6.2 N. Regarding unplugging work at 23 °C the calculated values were between 3.0 and 8.9 × 10^?3 J and at 54 °C between 8.8 and 13.0 × 10^?3 J.SignificancePre-heating significantly reduced viscosity of highly viscous resin composites, while no influence was shown for flowable composites. In general stickiness, measured as unplugging work, increased at elevated temperatures. The thermo-viscous material showed low viscosity comparable to flowable composites at 45 and 54 °C, yet its stickiness did not increase significantly compared to the values at 23 °C.     

The effect of resin composite pre-heating on monomer conversion and polymerization shrinkage

ObjectivesTo determine monomer conversion and polymerization shrinkage of a resin composite after different pre-heating procedures and storage intervals.MethodsFor a commercial resin-based composite the immediate (5 min) and final (24 h) degree of conversion was measured on top and bottom surfaces utilizing FTIR spectroscopy. Composite pre-heating temperatures were selected between 10 and 68 °C. Polymerization shrinkage was measured according to Archimedes’ principles of buoyancy after 5 min at respective pre-heating temperatures and after 24 h dark and wet storage at 37 °C. Intra-cavity temperature development was monitored using a K-type thermocouple.ResultsNo significant increase in immediate as well as in final degree of conversion were measured from composite pre-heating at 68 °C compared to 54 and 39 °C. Linear correlations were detected immediately after photo-polymerization and on the top surface after 24 h storage. Polymerization shrinkage as a function of pre-heating temperatures exhibited a linear correlation after 5 min, but no statistically different behavior after 24 h.SignificancePre-heating of resin composites does not increase degree of conversion over time. It can be clinically beneficial, due to a superior marginal adaptation. This advantageous effect of reduced material paste viscosity has to be clinically addressed, since temperature rapidly drops to the physiological level upon removal from the pre-heating device.     

Effect of filler particle size and morphology on force/work parameters for stickiness of unset resin-composites

ObjectivesTo investigate the effect of variation in filler particle size and morphology within an unset model series of resin-composites on two stickiness parameters: (1) maximum probe separation-force and (2) work-of-separation. This study was to complement previously reported measurements of composite stickiness in terms of a strain-parameter, ‘peak-height’.Materials and methodsEleven experimental light cured resin-composites were selected. All had the same matrix (Bis-GMA, UDMA and TEGDMA, with 0.33% camphoroquinone) and the same filler volume fraction—56.7%, however filler particles varied in size and shape and were either unimodal or multimodal in size-distribution. Each material was placed in a cylindrical mould (φ = 7 mm × 5 mm depth) held at 26 or 37 °C. The maximum force (F_max, N) and work of probe-separation (W_s, N mm) were measured. A flat-ended stainless-steel probe (φ = 6 mm) was mechanically lowered onto and into the surface of the unset sample, until a compressive force of 1 N was reached, which was held constant for 1 s. Then the probe was moved vertically upward at a constant speed; either 2 or 8 mm/s. The tensile force produced on the probe by the sticky composite was plotted against displacement and the maximum value was identified (F_max). W_s was obtained as the integrated area. Data was analyzed by multivariate ANOVA and multiple pair-wise comparisons using a Tukey post hoc test to establish homogenous subsets (at p = 0.05) for F_max and a Games–Howell was used for W_s.ResultsAs potential measures of stickiness, F_max and W_s showed more coherent trends with fillersize when measured at the lower of the two probe speeds, 2 mm/s. For unimodal resin-composite F_max ranged from 1.04 to 5.11 N and W_s from 0.48 to 11.12 N mm. For the multimodal resin-composite they ranged from 1.64 to 4.13 N and from 2.32 to 8.34 N mm respectively. Temperature increase tended to slightly reduce F_max, although this trend was not consistent. W_s generally increased with temperature.ConclusionFiller particle size and morphology influences F_max and W_s of uncured resin-composite which partly express the handling behaviors of resin-composites.     

Effect of different composite modulation protocols on the conversion and polymerization stress profile of bulk-filled resin restorations

ObjectiveThe aim of this in vitro study was to test the effect of different composite modulation protocols (pre-heating, light-curing time and oligomer addition) for bulk filling techniques on resin polymerization stress, intra-pulpal temperature change and degree of conversion.MethodsClass I cavities (4 mm depth × 5 mm diameter) were prepared in 48 extracted third molars and divided in 6 groups. Restorations were completed with a single increment, according to the following groups: (1) Filtek Z250XT (room temperature – activated for 20 s); (2) Filtek Z250XT (at room temperature – activated for 40 s); (3) Filtek Z250XT (pre-heated at 68 °C – activated for 20 s); (4) Filtek Z250XT (pre-heated at 68 °C – activated for 40 s); (5) Filtek BulkFill (at room temperature – activated for 20 s); (6) Filtek Z250XT (modified by the addition of a thio-urethane oligomer at room temperature – activated for 40 s). Acoustic emission test was used as a real-time polymerization stress (PS) assessment. The intra-pulpal temperature change was recorded with a thermocouple and bottom/top degree of conversion (DC) measured by Raman spectroscopy. Data were analyzed with one-way ANOVA/Tukey's test (α = 5%).ResultsPre-heating the resin composite did not influence the intra-pulpal temperature (p = 0.077). The thio-urethane-containing composite exhibited significantly less PS, due to a lower number of acoustic events. Groups with pre-heated composites did not result in significantly different PS. Filtek BulkFill and the thio-urethane experimental composite presented significantly higher DC.SignificanceResin composite pre-heating was not able to reduce polymerization stress in direct restorations. However, thio-urethane addition to a resin composite could reduce the polymerization stress while improving the DC.     

In vitro dentine remineralization with a potential salivary phosphoprotein homologue

ObjectiveAdvantages of introducing a salivary phosphoprotein homologue under standardized in vitro conditions to simulate the mineral-stabilizing properties of saliva have been proposed. This study longitudinally investigates the effects of casein, incorporated as a potential salivary phosphoprotein homologue in artificial saliva (AS) solutions with/without fluoride (F) on in vitro dentine lesion remineralization.DesignThin sections of bovine root dentine were demineralized and allocated randomly into 6 groups (n = 18) having equivalent mineral loss (ΔZ) after transverse microradiography (TMR). The specimens were remineralized using AS solutions containing casein 0 μg/ml, F 0 ppm (C₀–F₀); casein 0 μg/ml, F 1 ppm (C₀–F₁); casein 10 μg/ml, F 0 ppm (C₁₀–F₀); casein 10 μg/ml, F 1 ppm (C₁₀–F₁); casein 100 μg/ml, F 0 ppm (C₁₀₀–F₀) or casein 100 μg/ml, F 1 ppm (C₁₀₀–F₁) for 28 days with TMR taken every 7 days.ResultsSurface mineral precipitation, evident in group C₀–F_1, was apparently inhibited in groups with casein incorporation. Repeated measures ANOVA with Bonferroni correction revealed higher ΔZ for non-F and non-casein groups than for their counterparts (p < 0.001). Subsequent multiple comparisons showed that mineral gain was higher (p < 0.001) with 10 μg/ml casein than with 100 μg/ml when F was present in the earlier stages of remineralization, with both groups achieving almost complete remineralization after 28 days.ConclusionCasein is a potential salivary phosphoprotein homologue that could be employed for in vitro dentine remineralization studies. Concentration related effects may be clinically significant and thus must be further examined.     

Cell migration,viability and tissue reaction of calcium hypochlorite based-solutions irrigants: An in vitro and in vivo study

ObjectiveThis study aimed to analyze in vitro cytotoxicity to cultured 3T3 fibroblasts and in vivo inflammatory reaction in rats by calcium hypochlorite (Ca(OCl)₂) solutions compared with sodium hypochlorite (NaOCl) solutions.DesignCultured 3T3 fibroblasts were exposed to different concentrations of (Ca(OCl)₂) and NaOCl solutions, and a scratch assay was performed. The viability rate was analyzed with trypan blue assay. Both solutions of 1% and 2.5% concentrations were injected into the subcutaneous tissue of 18 male Wistar rats aged 18 weeks. The inflammatory tissue reaction was evaluated at 2 h, 24 h, and 14 days after the injections. The samples were qualitatively analyzed using a light microscope. Statistical analysis was performed with ANOVA and Tukey post hoc tests for in vitro assays and Kruskal–Wallis and Dunn post hoc tests for in vivo assays (α = 0.05).ResultsIn the scratch assay, Ca(OCl)₂ showed no significant difference compared with the control group (culture medium) at 24 h (p < 0.05). Solutions of 0.0075% and 0.005% NaOCl and Ca(OCl)₂ concentrations presented similar results compared with those in the positive control group (hydrogen peroxide) (p > 0.05) in the trypan blue assay. In the in vivo assay, 1% Ca(OCl)₂ group showed a significant decrease in neutrophils at 2 h and 24 h (p = 0.041) and 2 h and 14 days (p = 0.017). There was no statistically significant difference for lymphocyte/plasmocyte and macrophage counts among the different concentration groups.ConclusionsCa(OCl)₂ showed favorable results of viability and induced a low-level inflammatory response. Ca(OCl)₂ presented acceptable cytotoxicity and biocompatibility as an irrigant solution.     

Translucency,flexural strength,fracture toughness,fracture load of 3-unit FDPs,Martens hardness parameter and grain size of 3Y-TZP materials

ObjectiveThis investigation tested pre-shaded 3Y-TZP materials on optical, mechanical and structural properties and calculated correlations between these properties.MethodsSeven A2-shaded 3Y-TZP zirconia materials were investigated on translucency (T) via UV–vis-spectrophotometer, fracture load of 3-unit FDPs (FL), biaxial flexural strength (FS), Chevron-Notch Beam (CNB), fracture toughness (K_IC) and Martens parameter (hardness: HM and indentation modulus: E_IT). FL, FS and K_IC were measured in a universal testing machine. The grain size was evaluated by scanning electron microscopy (SEM). Data was analyzed using one-way ANOVA followed by post hoc Scheffé, Kruskal–Wallis-, Mann–Whitney-U- and Pearson-test (p < 0.05).ResultsFor translucency, negative correlations were found with results of facture load (R = −0.444, p < 0.001) and K_IC (R = −0.503, p < 0.001). While a positive correlation was found between translucency and flexural strength (R = 0.238, p = 0.019), between fracture load and E_IT (R = 0.227, p < 0.029), between fracture load and K_IC (R = 0.362, p < 0.001) as well as between fracture load and the grain size (R = 0.598, p = 0.007). While the grain size positively correlated with E_IT (R = 0.534, p = 0.017) as well as E_IT with HM (R = 0.720, p < 0.001).SignificanceDespite of being based on the same raw material, tested zirconia materials significantly differed regarding optical, mechanical (except biaxial flexural strength and Martens hardness) and structural properties. Materials with highest optical properties were those with lowest mechanical properties (CER, COP).     

Evaluation of the gingival inflammation in pregnancy and postpartum via 25-hydroxy-vitamin D3, prostaglandin E2 and TNF-α levels in saliva

BackgroundPhysiological changes and immunological modifications occur during pregnancy. The clinical and biological features of periodontal infections are affected by pregnancy. The aim of the present study was to evaluate saliva levels of 25-hydroxy-vitamin D3 (25(OH)D3), prostaglandin E2 (PGE₂) and TNF-alpha (TNF-α) in pregnancy, postpartum and non-pregnant controls.MethodsWhole saliva samples together with full-mouth clinical periodontal recordings were obtained from 59 pregnant, 47 post partum and 70 systemically healthy non-pregnant women. Groups were also evaluated according to the periodontal health status. 25(OH)D3, PGE₂ and TNF-α levels in the saliva samples were determined by enzyme-linked immunoassays. Data were statistically tested by nonparametrical tests.ResultsSaliva TNF-α and PGE₂ levels were significantly lower and 25(OH)D3 levels were significantly higher in the pregnant group than postpartum group (p < 0.0001). Saliva TNF-α and 25(OH)D3 levels were significantly higher and PGE₂ levels were significantly lower in the control group than postpartum group (p < 0.0001). In the pregnant healthy, gingivitis and periodontitis groups saliva TNF-α levels were significantly lower than postpartum and control counterparts (p < 0.0001, p = 0.032, p = 0.003 and p = 0.013; p = 0.027; p = 0.007, respectively). In control healthy, gingivitis and periodontitis groups saliva 25(OH)D3 levels were significantly higher than the postpartum counterparts (p < 0.0001, p < 0.0001, p = 0.002, respectively). In the control healthy and gingivitis groups saliva 25(OH)D3 levels were significantly higher than pregnant healthy and gingivitis (p < 0.0001).ConclusionsIn conclusion, within the limits of the present study it seems that pregnancy have an effect on parameters in saliva in relation to the periodontal status of the women. Further studies are required for better understanding of the impact of periodontal diseases on pregnancy or otherwise.     

Effect of exposure time and pre-heating on the conversion degree of conventional,bulk-fill,fiber reinforced and polyacid-modified resin composites

Objective

To determine the degree of conversion (DC) of different type of resin-based composites (RBC) in eight-millimeter-deep clinically relevant molds, and investigate the influence of exposure time and pre-heating on DC.

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.     

Effect of eugenol-containing and resin endodontic sealers on retention of prefabricated metal posts cemented with zinc phosphate and resin cements

PurposeThe aim of this study was to compare the effects of two endodontic sealers on the retention of posts cemented with zinc phosphate or resin cement.Materials and methodsCrowns of 72 mandibular premolars were removed at the cementoenamel junction. Root canals were prepared and specimens were randomly divided into two groups of 36. In each group, 12 specimens were obturated with gutta percha only; 12 specimens with gutta percha/ZOE sealer and 12 specimens with gutta percha/AH26. In the first group, 10 mm Post spaces were prepared with Peeso reamers size 4 and, size 5 stainless steel Paraposts were cemented in with zinc phosphate. In the second group, 10 mm Post spaces were prepared with Fiber Lux size 5.5 drills and size 5 Paraposts were cemented with Panavia F_2.0. After mounting in resin blocks, posts were pulled out by universal testing machine at 1 mm/min and results were analyzed by two-way ANOVA and Dunnett test.ResultsMean forces (in Newtons) required to remove posts cemented with zinc phosphate in canals obturated without sealer, with ZOE, and with AH26 sealers were 270 ± 83, 281 ± 128 and 266 ± 67, respectively; and for posts cemented with Panavia F_2.0 were 520 ± 290, 464 ± 212 and 229 ± 108, respectively. Statistical analysis showed that AH26 significantly reduced retention of posts cemented with Panavia F_2.0 (p < 0.05).ConclusionDifferent sealers had no significant effect on retention of posts cemented with zinc phosphate. However posts cemented with Panavia F_2.0 showed reduced retention in canals obturated with AH26.     

Digitization of simulated clinical dental impressions: Virtual three-dimensional analysis of exactness

ObjectivesTo compare the exactness of simulated clinical impressions and stone replicas of crown preparations, using digitization and virtual three-dimensional analysis.MethodsThree master dies (mandibular incisor, canine and molar) were prepared for full crowns, mounted in full dental arches in a plane line articulator. Eight impressions were taken using an experimental monophase vinyl polysiloxane-based material. Stone replicas were poured in type IV stone (Vel-Mix Stone; Kerr). The master dies and the stone replicas were digitized in a touch-probe scanner (Procera^® Forte; Nobel Biocare AB) and the impressions in a laser scanner (D250, 3Shape A/S), to create virtual models. The resulting point-clouds from the digitization of the master dies were used as CAD-Reference-Models (CRM). Discrepancies between the points in the pointclouds and the corresponding CRM were measured by a matching-software (CopyCAD 6.504 SP2; Delcam Plc). The distribution of the discrepancies was analyzed and depicted on color-difference maps.ResultsThe discrepancies of the digitized impressions and the stone replicas compared to the CRM were of similar size with a mean ± SD within 40 μm, with the exception of two of the digitized molar impressions. The precision of the digitized impressions and stone replicas did not differ significantly (F = 4.2; p = 0.053). However, the shape affected the digitization (F = 5.4; p = 0.013) and the interaction effect of shape and digitization source (impression or stone replica) was pronounced (F = 28; p < 0.0001). The reliability was high for both digitization methods, evaluated by repeated digitizations.SignificanceThe exactness of the digitized impressions varied with shape. Both impressions and stone replicas can be digitized repeatedly with a high reliability.     

Fracture toughness of cross-linked and non-cross-linked temporary crown and fixed partial denture materials

ObjectivesTemporary crowns and fixed partial dentures are exposed to considerable functional loading, which places severe demands on the biomaterials used for their fabrication (= temporary crown & bridge materials, t-c&b). As the longevity of biopolymers is influenced by the ability to withstand a crack propagation, the aim of this study was to investigate the fracture toughness of cross-linked and non-cross-linked t-c&bs.MethodsFour different t-c&bs (Luxatemp AM Plus, Protemp 3 Garant, Structur Premium, Trim) were used to fabricate bar shaped specimens (2 mm × 5 mm × 25 mm, ISO 13586). A notch (depth 2.47 mm) was placed in the center of the specimen using a diamond cutting disc and a sharp pre-crack was added using a razor blade. 60 specimens per material were subjected to different storage conditions (dry and water 37 °C: 30 min, 60 min, 4 h, 24 h, 168 h; thermocycling 5–55 °C: 168 h) prior to fracture (3-point bending setup). The fracture sites were inspected using SEM analysis. Data was subjected to parametric statistics (p = 0.05).ResultsThe K_IC values varied between 0.4 and 1.3 MPa m^0.5 depending on the material and storage time. Highest K_IC were observed for Protemp 3 Garant. Fracture toughness was significantly affected by thermocycling for all dimethacrylates (p < 0.05) except for Structur Premium. All dimethacrylates showed a linear-elastic fracture mechanism, whereas the monomethacrylate showed an elasto-plastic fracture mechanism.SignificanceDimethacrylates exhibit a low resistance against crack propagation immediately after curing. In contrast, monomethacrylates may compensate for crack propagation due to plastic deformation. However, K_IC is compromised with increasing storage time.     

Vertical and horizontal polymerization shrinkage in composite restorations

ObjectivePolymerization shrinkage developed in vertical and horizontal directions after light activation of light-curing composite restorative materials. The purpose of this study was to examine the effects of vertical and horizontal polymerization shrinkage on: (a) dimensional changes of resin composites in tooth cavities; (b) shear bond strengths to enamel and dentin; and (c) marginal gap width in a non-reacting Teflon mold.MethodsVertical and horizontal polymerization shrinkage in tooth cavities were measured immediately (3 min) after light activation. With the same time lapse, shear bond strengths to enamel and dentin and marginal gap widths in Teflon mold were also measured.ResultsThere was a significant correlation between vertical and horizontal polymerization shrinkage (r = 0.647, p = 0.043) in the tooth cavity. Composite materials which produced small vertical shrinkage also produced smaller horizontal shrinkage. Composite materials which produced small vertical shrinkage in the tooth cavity exhibited greater shear bond strengths to both enamel (r = −0.697, p = 0.025) and dentin (r = −0.752, p = 0.012). Composite materials which produced smaller horizontal shrinkage produced smaller marginal gap widths in the Teflon mold (r = 0.829, p = 0.003). No relationships were observed between horizontal shrinkage in the tooth cavity and shear bond strengths to both enamel and dentin (p > 0.05).SignificanceDuring the early stage of setting (<3 min) in tooth cavities, the vertical shrinkage of light-activated composite restorative materials was correlated with horizontal shrinkage.     

Antibacterial response of oral microcosm biofilm to nano-zinc oxide in adhesive resin

ObjectiveVarious nanoparticles are currently under investigation to impart biointeractivity for dental materials. This study aimed to: (1) formulate an experimental dental adhesive containing ZnO nanoparticles; (2) evaluate its chemical and mechanical properties; and (3) assess the antibacterial response against oral microcosm biofilm.MethodsNanosized ZnO was chemically and morphologically evaluated. ZnO was incorporated at 0 (G_CTRL), 2.5 (G_2.5%), 5 (G_5%) and 7.5 (G_5%) wt.% in an experimental dental adhesive. The adhesives were evaluated for the degree of conversion (DC), flexural strength (FS), and elastic modulus (E). The antibacterial activity was evaluated using a 48 h-microcosm biofilm model after the formation of acquired pellicle on samples’ surfaces. Colony-forming units (CFU), metabolic activity, and live/dead staining were assessed.ResultsNanosized ZnO presented characteristic peaks of Zn-O bonds, and the particles were arranged in agglomerates. The DC ranged from 62.21 (±1.05) % for G_Ctrl to 46.15 (±1.23) % for G_7.5% (p < 0.05). G_7.5% showed lower FS compared to all groups (p < 0.05). Despite achieving higher E (p < 0.05), G_2.5% did not show differences for G_Ctrl regarding the FS (p > 0.05). G_7.5% had lower CFU/mL compared to G_Ctrl for mutans streptococci (p < 0.05) and total microorganisms (p < 0.05), besides presenting lower metabolic activity (p < 0.05) and higher dead bacteria via biofilm staining.SignificanceThe dental adhesives' physicochemical properties were similar to commercial adhesives and in compliance with ISO recommendations. G_7.5% restricted the growth of oral microcosm biofilm without impairing the physicochemical performance.     

The effect of magnesium hydroxide-containing dentifrice using an extrinsic and intrinsic erosion cycling model

ObjectiveTo evaluate, in vitro, the effect of Mg(OH)₂ dentifrice, and the influence of the number of experimental days, on the extrinsic (citric acid –CA) and intrinsic (hydrochloric acid –HCl) enamel erosion models.DesignHuman enamel slabs were selected according to surface hardness and randomly assigned to 3 groups (n = 9) as follows: non-fluoridated (negative control), NaF (1450 ppm F- positive control) and Mg(OH)₂ (2%) dentifrices. The slabs were daily submitted to a 2-h period of pellicle formation and, over a period of 5 days, submitted to cycles (3×/day) of erosive challenge (CA 0.05 M, pH = 3.75 or HCl 0.01 M, pH = 2 for 30 s), treatment (1 min −1:3 w/w of dentifrice/distilled water) and remineralization (artificial saliva/120 min). Enamel changes were determined by surface hardness loss (SHL) for each day and mechanical profilometry analysis. Data were analyzed by two-way ANOVA followed by Tukey’s test to % SHL and one-way ANOVA to profilometry (p < 0.05).ResultsThe number of experimental days influenced the erosion process for the two types of erosion models (p < 0.001). Mg(OH)₂-containing dentifrices were effective in reducing enamel extrinsic acid erosion as determined by % SHL (p < 0.001) when compared to the control group, being better than positive control (p < 0.001); however, the dentifrices were not effective for the intrinsic model (p = 0.295). With regards to surface wear, no statistically significant differences were found among the groups for CA (p = 0.225) and HCl (p = 0.526).ConclusionThe findings suggest that Mg(OH)₂ dentifrices might protect enamel against slight erosion, but protection was not effective for stronger acid erosion.     

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.     

Conversion kinetics of rapid photo-polymerized resin composites

ObjectiveTo measure the degrees of conversion (DC), conversion kinetics, and the effect of post-irradiation time on rapid photo-polymerized bulk-fill resin composites under conditions equivalent to clinical depths of 1 and 4 mm.Methods36 specimens (n = 3), based on two resin composites incorporating PowerCure rapid-polymerization technology in two consistencies (PFill; PFlow) and two comparators with matching consistencies (Eceram; EFlow), were investigated from the same manufacturer (Ivoclar AG, Liechtenstein). Specimens were prepared within 4 mm diameter cylindrical molds, of either 1 mm or 4 mm depths respectively, to simulate near-surface and deep locations in a bulk-fill restoration. The independent variables in this study were: materials, thickness and time. Two high irradiance polymerization protocols were utilized for PowerCure materials: 2000 and 3050 mW/cm² for 5 and 3 s, respectively. A standard (1200 mW/cm²) polymerization protocol was used with control materials. FTIR was utilized to measure DC in real-time for 24 h post-irradiation. The data were analyzed using Welch’s-ANOVA, Games-Howell post-hoc test, kinetic dual-exponential sum function and independent sample t-tests (p = 0.05).ResultsThe DC of the materials ranged between 44.7–59.0 % after 5 min, which increased after 24 h reaching 55.7–71.0 % (p < 0.05). Specimen thickness did not influence the overall DC. At 5 min, the highest DC was shown in EFlow. But PFlow, irradiated for 3 s and 5 s exhibited comparable results (p > 0.05). PFill composite irradiated with the 3 s and 5 s protocols did not differ from ECeram (p > 0.05). Specimen thickness and material viscosity affected polymerization kinetics and rate of polymerization (RP_max). Faster polymerization occurred in 1 mm specimens (except PFill-5 s and ECeram). PFill and PFlow exhibited faster conversion than the controls. RP_max varied across the specimen groups between 4.3–8.8 %/s with corresponding DC _RPmax between 22.2–45.3 %.SignificancePolymerization kinetics and RP_max were influenced by specimen thickness and material viscosity. PFill and PFlow materials produced an overall comparable conversion at 5 min and 24 h post-irradiation, despite the ultra-short irradiation times, throughout the 4 mm specimen thickness.     

Fabrication and characterization of remineralizing dental composites containing calcium type pre-reacted glass-ionomer (PRG-Ca) fillers

ObjectiveTo fabricate and characterize dental composites with calcium type pre-reacted glass-ionomer (PRG-Ca) fillers.MethodsPRG-Ca fillers were prepared by the reaction of calcium fluoroaluminosilicate glass with polyacrylic acid. Seven dental composites were produced from the same organic matrix (70/30 wt% Bis-GMA/TEGDMA), with partial replacement of barium borosilicate (BaBSi) fillers (60 wt%) by PRG-Ca fillers (wt%): E0 (0) – control, E1 (10), E2 (20), E3 (30), E4 (40), E5 (50) and E6 (60). Enamel remineralization was evaluated in caries-like enamel lesions induced by S. mutans biofilm using micro-CT. The following properties were characterized: degree of conversion (DC%), roughness (Ra), Knoop hardness (KHN), flexural strength (FS), flexural modulus (FM), water sorption (W_sp), water solubility (W_sl), and translucency (TP). Data were analyzed to one-way ANOVA and Tukey’s HSD test (α = 0.05).ResultsAll composites with PRG-Ca induced enamel remineralization. E0 and E1 presented similar and highest DC% than E2 = E3 = E4 = E5 = E6. Ra and KHN were not influenced by PRG-Ca fillers (p < 0.05). The higher the content of PRG-Ca, the lower FS, FM and TP (p < 0.05). W_sp increased linearly with the content of PRG-Ca fillers (p < 0.05). E6 presented the highest W_sl (p < 0.05), while the W_sl of the other composites were not different from each other (p > 0.05).SignificanceIncorporation of 10–40 wt.% of PRG-Ca fillers endowed remineralizing potential to dental composites without jeopardizing the overall behavior of their physicochemical properties. Dental composites with PRG-Ca fillers seems to be a good alternative for reinforcing the enamel against caries development.