Effectiveness of Laser Fluorescence–Based Device in Detecting the Extent of Re-Mineralisation in Primary Teeth Compared to the Conventional Method: An In vitro Study

Background: Laser fluorescence (LF)–based clinical device DIAGNOdent™ is at present being used to detect caries. Can the same be used to detect therapeutic remineralisation of early white spot lesions? Aims: To explore the feasibility of using LF?based device in monitoring the changes following remineralisation of demineralised primary teeth. Materials and Method: The sample number for the present experimental in vitro study was 10. The LF based device readings were correlated with surface microhardness (SMH) test values to evaluate its efficiency. SMH analysis was performed using a microhardness tester (Tescol?HT1000AD). All the samples were demineralised, followed by remineralisation using fluoride varnish and pH cycling. The data was analysed using the Statistical Package for the Social Sciences (SPSS) version 17.0 (IBM SPSS®) software. Paired t?test was performed to compare laser fluorescence readings and SMH test result values at baseline, after demineralisation, and after remineralisation. Pearson’s correlation was used to compare the relation between the laser fluorescence and SMH test. Results: A good negative correlation was seen between the two methods at the baseline readings even though it was not statistically significant (P = 0.069). A positive correlation between the methods existed following demineralisation which was not significant (P = 0.074). The correlation between the parameters following remineralisation showed a moderate negative correlation but was not significant (P = 0.55). Conclusion: DIAGNOdent™ values at baseline, after demineralisation, and after remineralisation was consistent with SMH values. Thus, DIAGNOdent™ can be explored to provide chairside assistance in identifying remineralisation of white spot lesions.

Comparison of Thermal Conductivity, Flexural Strength, and Surface Hardness of Alumina Incorporated and Conventional Heat-Activated Denture Base Resins

Introduction: Commonly used polymethyl methacrylate (PMMA) denture base material cannot be considered as ideal due toinferior thermal and mechanical properties.Aim: The aim of the study was to evaluate and compare the thermal conductivity, flexural strength, and surface hardness ofheat cure acrylic resin incorporated with 10 wt.% and 15 wt.% alumina and conventional denture base resin.Materials and Methods: A total of 108 specimens were prepared. Specimens were divided into three main groups. Group Aspecimens were disk shaped (50 mm × 5 mm) and used for measuring thermal conductivity. Groups B and C specimens wererectangular shaped (65 mm × 10 mm × 3 mm) and were used for measuring flexural strength and surface hardness, respectively.Each group was further divided into three subgroups (1, 2, and 3) depending on the concentration, namely, PMMA without filler(control), PMMA + 10 wt.% of Al2O3, and PMMA + 15 wt.% of Al2O3 containing 12 samples each. Thermal conductivity wasmeasured using a modified guarded hot plate apparatus. Flexural strength was assessed with a three-point bending test usinga universal testing machine. Hardness testing was conducted using a Vickers Hardness Tester. The results were analyzedusing one-way ANOVA followed by post hoc comparison by Tukey’s method.Results: Mean values of thermal conductivity were (in W/mK) 0.190, 0.231, and 0.275 for subgroups A1, A2, and A3, respectively.The mean flexural strength values were (in MPa) 56.62, 66.73, and 74.24 for subgroups B1, B2, and B3, respectively. Meanvalues of surface hardness was calculated to be (in HV) 15.17, 16.51, and 17.91 for subgroup C1, C2, and C3, respectively.There was statistically significant improvement in thermal conductivity, flexural strength, and surface hardness after incorporationof alumina and the increase was in proportion to the weight percentage of alumina filler.Conclusion: Incorporation of alumina into heat cure denture base resin significantly improved the thermal conductivity, flexuralstrength, and surface hardness.

Effect of Nano-filled Protective Coating on Microhardness and Wear Resistance of Glass-ionomer Cements / 대한소아치과학회지

The purpose of this study was to investigate the effect of adding a protective coating on the microhardness and wear resistance of glass ionomer cements (GICs).Specimens were prepared from GIC and resin-modified GIC (RMGI), and divided into 3 groups based on surface protection: (1) no coating (NC), (2) Equia coat coating (EC), and (3) un-filled adhesive coating (AD). All specimens were then placed in distilled water for 24 h. Surface hardness (n = 10) was evaluated on a Vickers hardness testing machine. Wear resistance (n = 10) was evaluated after subjecting the specimen to thermocycling for 10,000 cycles using a chewing simulator. Data were analyzed using a one-way ANOVA and the Kruskal-Wallis test.Surface hardness was highest in the NC groups, followed by the EC and AD groups. The wear depth of GI + NC was significantly higher than that of all RMGI groups. EC did not significantly lower the wear depth compared to AD.Based on these results, it was concluded that although EC does not increase the surface microhardness of GIC, it can increase the wear resistance.

Finishing and polishing effects of multiblade burs on the surface texture of 5 resin composites: microhardness and roughness testing

OBJECTIVES: The aim of this in vitro study was to test the effect of 2 finishing–polishing sequences (QB, combining a 12/15-fluted finishing bur and an EVO-Light polisher; QWB, adding a 30-fluted polishing bur after the 12/15-fluted finishing bur used in the QB sequence) on 5 nanotech-based resin composites (Filtek Z500, Ceram X Mono, Ceram X Duo, Tetric Evoceram, and Tetric Evoceram Bulk Fill) by comparing their final surface roughness and hardness values to those of a Mylar strip control group (MS). MATERIALS AND METHODS: Twelve specimens of each nanocomposite were prepared in Teflon moulds. The surface of each resin composite was finished with QB (5 samples), QWB (5 samples), or MS (2 samples), and then evaluated (60 samples). Roughness was analysed with an optical profilometer, microhardness was tested with a Vickers indenter, and the surfaces were examined by optical and scanning electron microscopy. Data were analysed using the Kruskal-Wallis test (p < 0.05) followed by the Dunn test. RESULTS: For the hardness and roughness of nanocomposite resin, the QWB sequence was significantly more effective than QB (p < 0.05). The Filtek Z500 showed significantly harder surfaces regardless of the finishing–polishing sequence (p < 0.05). CONCLUSIONS: QWB yielded the best values of surface roughness and hardness. The hardness and roughness of the 5 nanocomposites presented less significant differences when QWB was used.

Surface hardness evaluation of different composite resin materials: influence of sports and energy drinks immersion after a short-term period

Objectives: This study evaluated the effect of sports and energy drinks on the surface hardness of different composite resin restorative materials over a 1-month period. Material and Methods: A total of 168 specimens: Compoglass F, Filtek Z250, Filtek Supreme, and Premise were prepared using a customized cylindrical metal mould and they were divided into six groups (N=42; n=7 per group). For the control groups, the specimens were stored in distilled water for 24 hours at 37°C and the water was renewed daily. For the experimental groups, the specimens were immersed in 5 mL of one of the following test solutions: Powerade, Gatorade, X-IR, Burn, and Red Bull, for two minutes daily for up to a 1-month test period and all the solutions were refreshed daily. Surface hardness was measured using a Vickers hardness measuring instrument at baseline, after 1-week and 1-month. Data were statistically analyzed using Multivariate repeated measure ANOVA and Bonferroni's multiple comparison tests (α=0.05). Results: Multivariate repeated measures ANOVA revealed that there were statistically significant differences in the hardness of the restorative materials in different immersion times (p<0.001) in different solutions (p<0.001). The effect of different solutions on the surface hardness values of the restorative materials was tested using Bonferroni's multiple comparison tests, and it was observed that specimens stored in distilled water demonstrated statistically significant lower mean surface hardness reductions when compared to the specimens immersed in sports and energy drinks after a 1-month evaluation period (p<0.001). The compomer was the most affected by an acidic environment, whereas the composite resin materials were the least affected materials. Conclusions: The effect of sports and energy drinks on the surface hardness of a restorative material depends on the duration of exposure time, and the composition of the material.

Effect of denture cleansers on surface hardness of resilient denture liners at various time intervals- an in vitro study

PURPOSE: This study was aimed to determine the effect of two chemically distinct denture cleansers and water on the surface hardness of acrylic and silicone based soft denture liners at various time intervals. MATERIALS AND METHODS: Two commonly used commercial resilient liner material were selected based on their chemical composition (silicone- and acrylic-based soft liners) for this investigation. 120 cylindrical specimens were made of 15 mm x 10 mm dimensions (according to ASTM: D-2240-64T) in a custom made metal mold. All specimens were stored in artificial saliva throughout the study. Forty specimens were cleansed daily in 0.5% sodium hypochlorite solution; forty were cleansed in sodium perborate and remaining forty specimens were daily rinsed in water. Testing was done at 1 week, 1 month, 3 months and 6 months for surface hardness using a Shore A Durometer. A mean of 3 reading for each sample was subjected to one-way ANOVA, Post Hoc test and pair-t test for statistical analysis. P values of less than 0.05 were taken as statistically significant. RESULTS: Surface hardness of all the samples was significantly higher after a period of 6 months irrespective of the cleansing treatment. Minor changes were observed between control, sodium hypochlorite and sodium perborate groups with time. Greater change was observed in surface hardness of acrylic-based soft denture liners as compared to silicone-based soft liners for all groups, as time progressed. CONCLUSION: Silicone-based soft denture liners performed significantly better in all cleansing treatments than acrylic-based soft denture liners.

Effect of glycerin on the surface hardness of composites after curing / 대한치과보존학회지

OBJECTIVES: The purpose of this study was to examine the effect of glycerin topical application on the surface hardness of composite after curing. MATERIALS AND METHODS: A composite (Z-250, 3M ESPE) was packed into a disc-shaped brass mold and light cured according to one of the following protocols. Group 1 (control) was exposed to air and light cured for 40 sec, group 2 was covered with a Mylar strip and light cured for 40 sec, group 3 was surface coated with glycerin and light cured for 40 sec, and group 4 was exposed to air and light cured for 20 sec and then surface coated with glycerin and cured for additional 20 sec. Twenty specimens were prepared for each group. The surface hardnesses of specimens were measured with or without polishing. Five days later, the surface hardness of each specimen was measured again. Data were analyzed by three-way ANOVA and Tukey's post hoc tests. RESULTS: The surface hardnesses of the unpolished specimens immediately after curing decreased in the following order: group 2 > 3 > 4 > 1. For the polished specimens, there was no significant difference among the groups. Within the same group, the hardness measured after five days was increased compared to that immediately after curing, and the polished specimens showed greater hardness than did the unpolished specimens. CONCLUSIONS: The most effective way to increase the surface hardness of composite is polishing after curing. The uses of a Mylar strip or glycerin topical application before curing is recommended.

Polytetrafluorethylene added to acrylic resins: mechanical properties

The addition of different polymers, such as polytetrafluorethylene (PTFE), to denture base resins could be an option to modify acrylic resin mechanical properties. This study evaluated the surface hardness, impact and flexural strength, flexural modulus and peak load of 2 acrylic resins, one subjected to a long and another subjected to a short polymerization cycle, which were prepared with or without the addition of 2 percent PTFE. Four groups were formed according to the polymerization cycle and addition or not of PTFE. Forty specimens were prepared for each test (10 per group) with the following dimensions: hardness (30 mm diameter x 5 mm thick), impact strength (50 x 6 x 4 mm) and flexural strength (64 x 10 x 3.3 mm) test. The results of the flexural strength test allowed calculating flexural modulus and peak of load values. All tests were performed in accordance with the ISO 1567:1999 standard. Data were analyzed statistically by ANOVA and Tukey's test with the level of significance set at 5 percent. No statistically significant differences (p>0.05) were found for surface hardness. Flexural strength, impact strength and peak load were significantly higher (p<0.05) for resins without added PTFE. The flexural modulus of the acrylic resin with incorporated 2 percent PTFE polymerized by long cycle was significantly higher (p<0.05) than that of the other resins. Within the limits of this study, it may be concluded that the addition of PTFE did not improve the mechanical properties of the evaluated acrylic resins.

A adição de diferentes polímeros como o politetrafluoretileno (PTFE) às resinas para base de próteses removíveis pode ser uma opção para modificar as propriedades mecânicas das resinas acrílicas. Este estudo avaliou a dureza de superfície, a resistência ao impacto e à flexão, o módulo flexural e a carga de ruptura de duas resinas acrílicas, uma submetida ao ciclo longo e a outra ao ciclo curto de polimerização, as quais foram preparadas com ou sem a adição de PTFE a 2 por cento. Quatro grupos foram formados de acordo com os ciclos de polimerização e a adição ou não de PTFE. Quarenta espécimes foram preparados para cada teste (10 espécimes por grupo) com as seguintes dimensões: dureza de superfície (30 mm diametro x 5 mm espessura), resistência ao impacto (50 x 6 x 4 mm), resistência à flexão (64 x 10 x 3,3 mm). O módulo flexural e a carga de ruptura foram calculados a partir dos valores obtidos no teste de resistência à flexão. Todos os testes foram realizados em conformidade com a Norma ISO 1567:1999. Os dados foram submetidos à análise de variância e teste de Tukey com nível de significância de 5 por cento. Não foram encontradas diferenças estatisticamente significantes (p>0,05) para dureza de superfície. Os valores de resistência à flexão, resistência ao impacto e carga de ruptura foram maiores para as resinas sem a adição de PTFE (p<0,05). O valor do módulo flexural da resina acrílica com adição de PTFE a 2 por cento, polimerizada por ciclo longo, foi maior do que as outras resinas (p<0,05). Dentro das limitações deste estudo, pode-se concluir que a adição de politetrafluoretileno não melhorou as propriedades mecânicas das resinas acrílicas avaliadas.

Analysis of the relationship between the surface hardness and Wear resistance of indirect composites used as veneer materials

This study evaluated the surface hardness and wear resistance of indirect composites (Artglass and Solidex) and the existence of a correlation between these properties. Twenty-four specimens (12 per material) were fabricated using a polytetrafluoroethylene matrix (5.0 mm in diameter; 7.0 mm high) following an incremental technique. Polymerization was done with a xenon stroboscopic light curing unit. After polishing, the specimens were stored in water at 37°C during either 1 day (n=6 per material) or 55 days (n=6 per material), after which Vickers surface hardness and wear resistance were assessed. Data were analyzed statistically by unpaired Student t-test, two-way ANOVA and Tukey's test. Surface hardness. Artglass had higher surface hardness than Solidex after 1-day immersion period (p<0.01), but after 55 days there was no significant difference between the materials (p>0.05). Comparing the materials at both periods, Artglass means differed significantly to each other (p<0.01), while no significant difference was found between Solidex means (p>0.05). Wear resistance. Solidex had higher wear than Artglass after 1-day immersion period (p<0.01), but no significant difference was found between the materials after 55 days (p>0.05). Comparing the materials at both periods, Artglass means differed significantly to each other (p<0.01), with higher wear at 55-day period, but no difference was found between Solidex means (p>0.05). These results suggest that Artglass was better than Solidex in terms of hardness and wear resistance after 1-day water immersion. However, it was more susceptible to degradation, showing greater wear after 55 days. In conclusion, there was an inverse correlation between surface hardness and wear resistance for both Artglass and Solidex indirect composites, that is the higher the hardness, the lower the wear.

Este trabalho avaliou a dureza superficial e resistência à abrasão de duas resinas compostas indiretas (Artglass e Solidex) bem como a existência de correlação entre estas propriedades. Foram confeccionados 24 corpos-de-prova (12 de cada compósito) pela técnica incremental utilizando uma matriz de politetrafluoretileno. A polimerização foi feita usando uma unidade fotopolimerizadora com lâmpada estroboscópica de xenônio. Após polimento, os corpos-de-prova foram armazenados em água a 37°C durante períodos de 1 dia (n=6 por material) ou 55 dias (n=6 por material), após os quais a dureza superficial Vickers e a resistência à abrasão foram testadas. Os dados foram analisados estatisticamente por meio do teste t de Student não-pareado, ANOVA a dois critérios de classificação e teste de Tukey. A comparação entre os materiais para a dureza superficial demonstrou que, no período de 1 dia, Artglass teve maior dureza (p<0,01). No período de 55 dias não houve diferença estatisticamente significante entre os materiais (p>0,05). Comparando os materiais nos dois períodos, Artglass apresentou diferença estatisticamente significante (p<0,01), o que não foi observado para o Solidex (p>0,05). A comparação entre os materiais para a resistência à abrasão demonstrou que, no período de 1 dia, o Solidex teve maior desgaste (p<0,01) que o Artglass, enquanto no período de 55 dias não houve diferença significante (p>0,05). Comparando os materiais em ambos os períodos, houve diferença estatisticamente significante para o Artglass (p<0,01), com maior desgaste no período de 55 dias, mas não houve diferença significante para o Solidex (p>0,05). Esses resultados sugerem que o Artglass teve melhor desempenho que o Solidex quanto à dureza e resistência ao desgaste após 1 dia de imersão em água; porém, foi mais suscetível à degradação, com maior desgaste após 55 dias. Concluiu-se que houve correlação inversa entre dureza superficial e resistência ao desgaste para os compósitos...

The effect of fermented foods on the color and hardness change of denture base acrylic resins / 대한치과보철학회지

STATEMENT OF PROBLEM: For a long time, many of denture base acrylic resins have been used for edentulous and partial edentulous patients because of easy manipulation and good mechanical properties, but its esthetic aspect has not been commented enough. Denture base acrylic resins also has caused esthetic problems due to discoloration or staining as in esthetic restoration. Many researches and reports have treated the problems and accomplished esthetic improvement. But these researches and reports dealt with general food colors or beverages, not with fermented foods. PURPOSE: This study is designed to assess what fermented foods, such as soy sauce, gochujang, and toenjang that many of Koreans have taken in, influence on the color and hardness variation of denture base acrylic resins. MATERIALS AND METHODS: For the procedure, twelve disks per 4 denture base acrylic resins were fabricated with a thickness of 2mm and 16mm in diameter. Each seven specimen were measured for discoloration with spectrophotometer, while the others, five specimen, for surface hardness change with Barcol hardness tester, over time. Each 12 specimen were immersed into the 4 beakers of fermented foods(soy sauces, gochujangs, toenjangs, deionized water), and L*, a*, and b* values were measured for the color difference(_E*), on the 1st, 7th, and 28th day with spectrophotometer, with the measurement of surface hardness change. Each data observed was processed statistically. RESULTS: The findings are as follows; Discoloration 1. All of denture base resins was not influenced by the kind of fermented foods, except for QC20. 2. Soy sauce and red pepper paste caused more change for denture base resins than deionized water and soy bean paste, except for Perform. 3. Most significant change was shown in Lucitone199., whereas Perform. results in the least change for all immersed solution, with no statistical significance. Hardness change 1. Barcol hardness values in deposited specimens have been changed low degree, but with significant statistical change according to the kind of food and duration. 2. Lucitone199. has significantly lower Barcol hardness value than others do. CONCLUSION: Based on the above results, it suggests that the habitual intake of fermented foods is not helpful for the color stability of denture base acrylic resins because Soy sauce and red pepper paste mainly caused discoloration and surface hardness change. Particularly Lucitone199. shows specific discoloration and low surface hardness values. Therefore, it is recommended giving caution patients with denture of Lucitone199. especially against the habitual intake of fermented foods like soy sauce and red pepper paste.

Surface hardness and pressing accuracy of reused IPS empress 2 / 대한치과보철학회지

STATEMENT OF PROBLEM: IPS Empress2 system was developed and used in prosthodontic treatment, but the cost of ingot is expensive for wide application. PURPOSE: This study was to investigate the possibility on recycling of IPS Empress 2 ceramic for wide application of IPS Empress 2 ceramic in prosthodontic treatment. MATERIAL AND METHOD: 1st, 2nd and 3rd pressed disc-shaped(10x1.5mm) IPS Empress 2 specimens were made with IPS Empress ingot(200, Ivoclar, Liechtenstein) and pressing furnace(IPS Empress EP 500, Ivoclar, Liechtenstein). Vicker's surface hardness and fracture toughness, acid resistance, and pressing accuracy of IPS Empress 2 ceramic were measured and analyzed. Surface hardness was measured by microhardness tester(MTX 70, Matsuzawa, Japan). before and after surface treatment with 0.5% hydrofluoric acid and carbonic acid(Coca cola) for evaluation of acid resistance. RESULTS: The surface hardness of 1st pressed specimen was the higher(5.11 GPa) than those of 2nd pressed( 4.89 GPa) and 3rd pressed specimen(4.86 GPa). and the fracture toughness of 1st pressed (1.58 MPam1/2)and 2nd pressed specimen(1.51 MPam1/2) were higher than that of 3rd pressed specimen(1.39 MPam1/2). The changes of surface hardness of 1st, 2nd, and 3rd pressed specimens after treatment with fluoric acid were 0.17, 0.06, 0.05(GPa) respectively, and those of 1st, 2nd, and 3rd pressed specimens after treatment with carbonic acid were 0.07, 0.00, 0.05(MPa) respectively. The pressing accuracy of 1st, 2nd and 3rd specimen were 77.22%, 85.681%, and 75.05%. The pressing accuracy of 2nd pressed specimen was higher than that of the 3rd specimen. CONCLUSION: The changes of physical properties according to recycling of IPS Empress 2 from this study were insignificant. Therefore the possibility of recycling of IPS Empress 2 can be suggested from the results.

Abrasion resistance of denture base resin including vinyloligosilsesquioxane / 대한치과보철학회지

STATEMENT OF PROBLEM: Recently, in attempts to reinforce the acrylic resin and to reduce the polymerization shrinkage, it has been reported that adding vinyloligo-silsesquioxane (vinyl-POSS) to PMMA significantly compensates for polymerization shrinkage and somewhat increases the fracture resistance. PURPOSE: There haven't been any studies on abrasion that can affect the adaptation of the denture in long-term use. In this study, abrasion resistance was compared between acrylic resin with vinyl-POSS and commercialized acrylic resin for denture base. In addition, the difference in abrasion resistance according to molding methods was compared. Material and method : Using PaladentR 20 including vinyl-POSS, PaladentR 20, Lucitone 199R, SR IvocapR, denture bases were fabricated using compression molding technique and continuous-pressure injection technique. Surface hardness and abrasion were measured for each group, and the worn surfaces were observed under a scanning electron microscope. RESULTS: 1. When surface hardness was measured for each material and molding technique, there was no statistically significant difference among the materials. (p<0.05) 2. When same denture base material and molding technique were used, the abrasion due to toothpaste solution was 5 times as severe as the abrasion due to soap solution. 3. When toothpaste solution was used, the abrasion decreased in the order of PaladentR 20, PaladentR 20 including vinyl-POSS, SR IvocapR, and Lucitone 199R. However, statistically significant difference was seen only among PaladentR 20, SR IvocapR, and Lucitone 199R.(p<0.05). 4. When soap solution was used, the abrasion was more severe in PaladentR 20 and including vinyl-POSS PaladentR 20 groups than in SR IvocapR and Lucitone 199R groups. (p<0.05). CONCLUSION: Addition of vinyl-POSS doesn't improve the abrasion resistance, and the abrasion resistance was similar to those of existing materials. Additional studies under different conditions are needed. For clinical application of vinyl-POSS, further investigations with different requirements and conditions are necessary.

The effect of denture cleansers on the bond strength and the surface hardness of reline resin to denture base resin / 대한치과보철학회지

STATEMENT OF PROBLEM: Removable partial denture and complete denture often require denture base relines to improve the fittness against tissue-bearing mucosa because of the gradual change in edentulous ridge contour and resorption of underlyng bony structure. Self-curing hard reline resins offers the immediate and relatively inexpensive means to be recondition the surface of denture base directly. However weak bond between denture base resin and reline material can harbor bacteria, promote staining, or result in complete separation of the two materials. PURPOSE: The purpose of this study was to evaluate the effect of denture cleansers on bond strength and surface hardness of reline resin to denture base resin Denture base resin beams(60.0x15.0x3.0 mm) were made with Lucitone 199. MATERIAL AND METHODS: 10mm section was removed from the center of each specimen. The samples were replaced in the molds and the space of 10mm sections were packed with Tokuso Rebase reline material. The specimens were immersed in denture cleansers(Polident, Cleadent) and were evaluated after 1week, 2weeks, and 4weeks. The bond strength and surface hardness of self-curing hard reline materials to heat-curing denture base resin were measured using an UTM(universal testing machine). RESULTS AND CONCLUSION: 1) There was no significant difference of usage, kind, and denture cleaner by application time on the bonding strength of self-curing hard reline resin to denture base resin. 2) There was no significant difference of usage, kind, and denture cleaner by application time on the surface hardness, but the surface hardness showed decreasing tendency, as the time of immersion was extended 3) The failure modes of the specimens was initially adhesive failure and finally cohesive failure of self-curing hard reline resin.

Comparison of the mechanical properties of composite resin cured by halogen curing light with those by LED curing light / 实用口腔医学杂志

0.05),respectively.Conclusion:LED curing light can reach the performance level of halogen curing light and is suitable for routine oral clinical application for resin curing.