Marginal microleakage of cervical composite resin restorations bonded using etch-and-rinse and self-etch adhesives: two dimensional vs. three dimensional methods

OBJECTIVES: This study was evaluated the marginal microleakage of two different adhesive systems before and after aging with two different dye penetration techniques. MATERIALS AND METHODS: Class V cavities were prepared on the buccal and lingual surfaces of 48 human molars. Clearfil SE Bond and Single Bond (self-etching and etch-and-rinse systems, respectively) were applied, each to half of the prepared cavities, which were restored with composite resin. Half of the specimens in each group underwent 10,000 cycles of thermocycling. Microleakage was evaluated using two dimensional (2D) and three dimensional (3D) dye penetration techniques separately for each half of each specimen. Data were analyzed with SPSS 11.5 (SPSS Inc.), using the Kruskal-Wallis and Mann-Whitney U tests (α = 0.05). RESULTS: The difference between the 2D and 3D microleakage evaluation techniques was significant at the occlusal margins of Single bond groups (p = 0.002). The differences between 2D and 3D microleakage evaluation techniques were significant at both the occlusal and cervical margins of Clearfil SE Bond groups (p = 0.017 and p = 0.002, respectively). The difference between the 2D and 3D techniques was significant at the occlusal margins of non-aged groups (p = 0.003). The difference between these two techniques was significant at the occlusal margins of the aged groups (p = 0.001). The Mann-Whitney test showed significant differences between the two techniques only at the occlusal margins in all specimens. CONCLUSIONS: Under the limitations of the present study, it can be concluded that the 3D technique has the capacity to detect occlusal microleakage more precisely than the 2D technique.

Effect of three nanobiomaterials on microhardness of bleached enamel

OBJECTIVES: The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. MATERIALS AND METHODS: The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens (2 × 3 × 4 mm) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. RESULTS: Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001). CONCLUSIONS: Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units

OBJECTIVES: Light-curing of resin-based materials (RBMs) increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs) of three different RBMs using quartz tungsten halogen (QTH) and light-emitting diode (LED) units (LCUs). MATERIALS AND METHODS: Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12) during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey), a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE), and a giomer (Beautifil II, Shofu GmbH), was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. RESULTS: The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p 0.05). CONCLUSIONS: Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

Pull-out bond strength of a self-adhesive resin cement to NaOCl-treated root dentin: effect of antioxidizing agents

OBJECTIVES: This study evaluated the effect of three antioxidizing agents on pull-out bond strengths of dentin treated with sodium hypochlorite. MATERIALS AND METHODS: Root canals of 75 single-rooted human teeth were prepared. Fifteen teeth were irrigated with normal saline for a negative control group, and the remaining 60 teeth (groups 2 - 5) with 2.5% NaOCl. The teeth in group 2 served as a positive control. Prior to post cementation, the root canals in groups 3 - 5 were irrigated with three antioxidizing agents including 10% rosmarinic acid (RA, Baridge essence), 10% hesperidin (HPN, Sigma), and 10% sodium ascorbate hydrogel (SA, AppliChem). Seventy-five spreaders (#55, taper .02, Produits Dentaires S.A) were coated with silica and silanized with the Rocatec system and ceramic bond. All the prepared spreaders were cemented with a self-adhesive resin cement (Bifix SE, Voco Gmbh) in the prepared canals. After storage in distilled water (24 h/37degrees C), the spreaders were pulled out in a universal testing machine at a crosshead speed of 1.0 mm/min. Pull-out strength values were analyzed by one-way ANOVA and Tukey's HSD test (alpha = 0.05). RESULTS: There were significant differences between study groups (p = 0.016). The highest pull-out strength was related to the SA group. The lowest strength was obtained in the positive control group. CONCLUSIONS: Irrigation with NaOCl during canal preparation decreased bond strength of resin cement to root dentin. Amongst the antioxidants tested, SA had superior results in reversing the diminishing effect of NaOCl irrigation on the bond strength to root dentin.

Effect of antioxidants on push-out bond strength of hydrogen peroxide treated glass fiber posts bonded with two types of resin cement

OBJECTIVES: Hydrogen peroxide (H2O2) surface treatment of fiber posts has been reported to increase bond strength of fiber posts to resin cements. However, residual oxygen radicals might jeopardize the bonding procedure. This study examined the effect of three antioxidant agents on the bond strength of fiber posts to conventional and self-adhesive resin cements. MATERIALS AND METHODS: Post spaces were prepared in forty human maxillary second premolars. Posts were divided into five groups of 8 each: G1 (control), no pre-treatment; G2, 10% H2O2 pre-treatment; G3, G4 and G5. After H2O2 application, Hesperidin (HES), Sodium Ascorbate (SA) or Rosmarinic acid (RA) was applied on each group respectively. In each group four posts were cemented with Duo-Link conventional resin cement and the others with self-adhesive BisCem cement. Push-out test was performed and data were analyzed using 2-way ANOVA and tukey's post-hoc test (alpha = 0.05). RESULTS: There was a statistically significant interaction between the cement type and post surface treatment on push-out bond strength of fiber posts (p < 0.001, F = 16). Also it was shown that different posts' surface treatments significantly affect the push-out bond strength of fiber posts (p = 0.001). H2O2 treated posts (G2) and control posts (G1) cemented with Duo-link showed the highest (15.96 +/- 5.07MPa) and lowest bond strengths (6.79 +/- 3.94) respectively. CONCLUSIONS: It was concluded that H2O2 surface treatment might enhance the bond strength of fiber posts cemented with conventional resin cements. The effect of antioxidants as post's surface treatment agents depends on the characteristics of resin cements used for bonding procedure.

[Application of silver diamine fluoride in dentistry: a review]

Untreated caries are common findings in low-income communities. Treatment of dental caries in young children is challenging and requires a high skill and high cost of dental anesthesia for control ling patients and thus, chemical methods for arresting dental caries have been proposed. Silver Diamine Fluoride [SDF] is a material that is used to control and to arrest dental caries, especially in primary teeth. It is noninvasive, safe, easy to use, and cost-effective. The SDF can be used as a therapeutic agent in oral health projects in low-income communities. In this article we reviewed the silver diamine fluoride and its application in dentistry

[Effect of 10% sodium ascorbate gel on shear bond strength of composite resin and resin-modified glass-ionomer to bleached dentin]

As dentin bond strength of the materials containing resin is reduced after bleaching, a delay in bonding for at least one week after bleaching is recommended. The aim of this study was to investigate the neutralizing effect of an antioxidizing agent on the shear bond strength [sbs] of bleached dentin and compare it with a delay of one week before bonding of composite resin [CR] and resin-modified glass-ionomer [RMGI]. Exposed dentin surfaces of 96 sound human molars were divided into eight groups. Buccal dentin surfaces of the specimens in group 1 and 5 were consecutively bonded with CR and RMGI cylinders. The specimens in other groups were bleached for six hours a day for five consecutive days. For the specimens in groups 2 and 6, bonding of CR and RMGI was performed immediately after bleaching, respectively. The specimens in groups 3 and 7 were immersed in distilled water for one week and then CR and RMGI were bonded. For the specimens in groups 4 and 8, 10% sodium ascorbate gel was applied and then CR and RMGI were bonded, respectively. Shear bond strengths of the specimens were measured. Data was analyzed by ANOVA and Tukey test [? = 0.05]. The mean sbs values for groups 1 to 5, 7, and 8 in MPa were 17.055 +/- 2.954, 8.19 +/- 0.941, 16.406 +/- 1.508, 15.640 +/- 3.073, 8.893 +/- 0.620, 8.162 +/- 0.975, 7.584 +/- 0.939, respectively. There were significant differences between the study groups. The specimens of group 6 had pretest failure. Bleaching led to a significant decrease in sbs of CR to dentin immediately after bleaching, and RMGI did not bond in this situation. A delay of one week before bonding and application of sodium ascorbate gel significantly increased the sbs of the evaluated materials to bleached dentin. In the composite groups the delayed subgroup had significantly higher sbs than the sodium ascorbate subgroup. In glass-ionomer groups there were no significant differences in sbs values

Influence of intermediary filling material on microleakage of intracoronally bleached and restored teeth

Background: failure of composite restorations in terms of microleakage after intracoronal bleaching has been reported. The purpose of this study was to assess in vitro effect of sodium ascorbate and calcium hydroxide as intermediary filling materials to repair the microleakage associated with adhesive restoration following intracoronal bleaching

Methods: sixty endodontically-treated incisors with access cavities extended to the cementoenamel junction in gingival margin were randomly divided into five equal groups. In group 1, cavities were restored by applying Single Bond and Z100 composite resin. In groups 2-5, 35% hydrogen peroxide gel was placed into the pulp chamber and sealed for 5 days. In group 2, teeth were then restored as in group 1. In groups 3 and 4, 10% sodium ascorbate gel and calcium hydroxide paste were applied in the pulp chamber for 40 hours, removed, rinsed and then, restored. In group 5, the cavities were incubated for 7 days and then, restored. Samples were thermocycled, immersed in basic fuschin, and sectioned. Dye penetration was scored using a stereomicroscope. Data were analyzed using Kruskal- Wallis and Mann-Whitney U tests [alpha = 0.05]

Results: there was no significant difference in enamel margins [P = 0.163]. In dentinal margins [P = 0.003], groups 1, 3 and 5 exhibited similar leakage patterns, each one of groups 1, 3 and 5 had significant differences with each one of groups 2 and 4

Conclusion: intracoronal bleaching using 35% H2O2 gel increases the microleakage in dentinal margins. Application of the antioxidant agent or a seven-day delay following bleaching may improve the marginal integrity. Applying calcium hydroxide might jeopardize dentinal sealing