Effects of non-thermal atmospheric plasma treatment on dentin wetting and surface free energy for application of universal adhesives

Objectives

The study aims to evaluate the effects of non-thermal atmospheric plasma (NTAP) treatments on dentin wetting and surface free energy (SFE) and compare the effects of NTAP treatment, etch-and-rinse, and self-etch protocols for application of universal adhesives.

Materials and methods

Mid-coronal dentin of intact third molars was used to measure contact angles of distilled water, ethylene-glycol, and diiodomethane and calculate SFE following different NTAP preset treatments (feeding gas consisting of pure He, He + 1% O₂, He + 1.5% O₂), power input (1 or 3 W), and tip-to-surface distance (2, 4, or 8 mm). Contact angles of reference liquids and SFE of dentin following He + 1.5% O₂ at 3-W and 4-mm treatment was compared to phosphoric acid etching. Contact angles of Single Bond Universal (SBU; 3M ESPE) and Clearfil Universal Bond (CUB; Kuraray Noritake) were measured following NTAP, etch-and-rinse, and self-etch protocols.

Results

NTAP significantly reduced contact angles of reference liquids and increased dentin SFE compared to untreated dentin (p < 0.05). O₂ intensified the effect of He NTAP (p < 0.05). NTAP and phosphoric acid increased dentin polarity and Lewis base surface characteristics. Phosphoric acid increased contact angles of adhesives compared to the self-etch protocol (p < 0.05). NTAP resulted in lower adhesive contact angles than phosphoric acid, the difference being statistically significant for CUB (p < 0.05). Compared to the self-etch protocol, NTAP slightly reduced CUB contact angle but not that of SBU (p > 0.05).

Conclusions

He NTAP with and without O₂ increased dentin wetting and SFE, surpassing the effect of phosphoric acid and lowering adhesive contact angles. NTAP produced no apparent micro-morphological changes on dentin surface comparable to acid etching.

Clinical significance

NTAP treatment of dentin prior to adhesive application increases dentin wetting and surface free energy facilitating better adhesive distribution on dentin surface compared to phosphoric acid etching and similar to the “self-etch” application protocol.

     

The use of spatially resolved fluorescence and reflectance to determine interface depth in layered fluorophore distributions

The possibility of using spatially resolved fluorescence and reflectance measurements to recover tissue optical properties, fluorophore concentration and the thickness of a superficial layer in a two-layer geometry was investigated. A diffusion theory model was used to fit reflectance and fluorescence data generated using Monte Carlo simulations or experimentally obtained using tissue-simulating phantoms. Initial analysis fitting diffusion theory generated data suggested that it should be possible to recover all parameters from a single set of spatially resolved fluorescence and reflectance measurements. However, when Monte Carlo or experimental data were fitted the results were less impressive. Overall, it was shown that there is a strong coupling between interface depth, fluorophore concentration and tissue absorption, especially at larger depths. The recovery of all input parameters from a single set of spatially resolved measurements was limited to interface depths less than 3 mm, which is a reasonable range for measuring fluorophore in skin. When the tissue optical properties and fluorophore concentrations were known, then the interface depth could be monitored with good accuracy in simulated serial measurements. These results may also point to deficiencies in the diffusion theory model that introduce significant errors in the fitted results.     

Optical properties of composite restorations influenced by dissimilar dentin restoratives

Objectives

To evaluate optical properties (color and translucency) of ‘sandwich’ restorations of resin-based composites and esthetically unfavorable dentin restoratives.

Perioperative implications of common respiratory problems

Pediatric surgical patients can present with a number of challenging common respiratory problems. This article reviews potential perioperative implications and anesthetic management of asthma, upper respiratory tract infections, bronchopulmonary dysplasia, and the effects of passive environmental smoke on children presenting for surgery.