Effect of different smear layers on the bonding performance and durability of four adhesive systems / 中国组织工程研究

BACKGROUND: When the tooth surface is treated with a rotary or manual instrument, a smudge layer is formed on the enamel and dentin by debris generated by cutting and abrasion. The bonding interface between the adhesive and the dentin is considered as a weak part in the direct repair process. To clarify the effect of smear layer on different kinds of adhesive is significantly important for dentists to select and correctly use the adhesive in clinical treatment. OBJECTIVE: To evaluate the effect of different diamond burs on the dentin bonding performance of four adhesive systems to dentin after 24 hours and 100 days of artificial saliva-storage. METHODS: Adhesive systems were: (1) VSA (Optibond Versa, Kerr); (2) AIO (Optibond All in One, Kerr); (3) SBU (Single bond Universal, 3M); (4) GLU (Bond 5, Gluma, Heraeus). In present study, 80 extracted human molars were randomly divided into four groups and each group is divided into 4 subgroups. Dentin surfaces were prepared by: (1) 600-grit SiC-paper (control group); (2) super-fine diamond bur; (3) regular diamond bur; (4) coarse diamond bur. Bonding agent was applied according to each manufacturer’s instruction. After light-curing, dentin surfaces were built-up with resin composite (A2, CHARISMA, Heraeus). The micro-tensile bond strength was determined after 24 hours and 100 days of storage in artificial saliva at 37 °C. The fractured surfaces on dentin side were observed by scanning electron microscope. RESULTS AND CONCLUSION: (1) Storage for 24 hours: There was no significant difference among groups under VSA and GLU. Under SBU and AIO, the bond strength in the coarse diamond bur group was significantly lower than that in the control group (P 0. 05). Using coarse diamond bur, the bond strength in the VSA group had significant difference compared with the AIO, GLU and SBU groups (P 0. 05). (2) Storage for 100 days, there was no significant difference among groups under VSA and GLU. Under SBU, the bond strength in the coarse diamond bur group was significantly lower than that in the control group (P 0. 05). Using regular diamond bur, the bond strength showed no significant difference in the GLU group compared with the SBU, and VSA groups (P > 0. 05). Using coarse diamond bur, the bond strength had no significant difference between VSA and AIO groups (P < 0. 05). (3) Using VSA, the bond strength in each group at 100 days showed significant difference compared with that at 24 hours (P < 0. 05). (4)Compared with immersed for 24 hours, the ratio of bond interface and combined crack in the VSA, SBU and GLU groups after immersed for 100 days was increased, especially the VSA group. Compared with the other groups, the ratio of bond interface and combined crack in the GLU group after immersed for 24 hours and 100 days both increased by 50%. (5) These results indicate that preparation by different burs produces different smear layers, which has significant effect to self-etching adhesive system and has no significant effect to total-etching adhesive system. Storage time makes effect on different adhesives.

The influence of different surface treatment protocols and bonding agents on the repair microtensile bond strength of six-month' aged composite: An in vitro study / A influência de diferentes protocolos de tratamento de superfície e agentes de união na resistência de união à microtração de reparo de compósito envelhecido por seis meses: um estudo in vitro

Objective: To compare the effect of three surface treatment protocols and two intermediate agents on repairing aged composite, regarding microtensile bond strength (µTBS) and mode of fracture, at two time intervals. Material and methods: Six-monthaged microhybrid composite blocks, were randomly distributed into three groups, subjected to; Fine, Super Fine grit diamond burs or Erbium- Yag Laser surface treatment. Each block had both One Coat bond SL (Bond) and Brilliant Flow flowable composite (Flow) intermediate agents, alongside. Blocks were incrementally repaired using nanohybrid composite, cut into beams, then randomly subjected either immediately (IM) to µTBS test or after thermocycling (TC) for 5000 cycle. Mode of failure was determined using stereomicroscope. Data were analyzed through three-way ANOVA followed by pairwise comparison with Bonferroni correction. Kruskal Wallis test compared groups for failure mode analysis (α=0.05) Results: Super Fine grit showed the highest mean µTBScompared to control for both intermediate agents, IM and after TC at P<0.05. No difference between Fine grit and Laser application for all groups (P>0.05). IM, Bond showed the highest µTBS compared to TC, Flow for all tested groups. Beams roughened with Fine and Super Fine burs showed significantly lower adhesive failures than those roughened with Laser. Flow suffers significantly higher adhesive failure than those with Bond. For TC tested groups; beams with Super Fine bur and Bond showed significantly lower adhesive failure at P=0.029. Conclusion: Super Fine grit and Bond provide the highest µTBS and the least adhesive failure; moreover TC resulted in significant decrease in µTBS (AU)

Objetivo: Comparar o efeito de três protocolos de tratamento de superfície e dois agentes intermediários no reparo de compósito envelhecido, quanto à resistência à microtração (µTBS) e modo de fratura, em dois intervalos de tempo. Material e métodos: Blocos de compósito microhíbrido envelhecidos por seis meses, foram distribuídos aleatoriamente em três grupos, submetidos a; Pontas diamantadas de granulação Fina, Superfina ou tratamento de superfície com laser de Erbio-Yag. Cada bloco tinha ambos os agentes intermediários One Coat bond SL (Adesivo) ao lado de Brilliant Flow (Resina Fluida). Os blocos foram reparados de forma incremental usando compósito nanohíbrido, cortados em palitose, em seguida, submetidos aleatoriamente imediatamente (IM) ao teste de µTBS ou após termociclagem (TC) por 5000 ciclos. O modo de falha foi determinado usando estereomicroscópio. Os dados foram analisados por meio de ANOVA de três fatores, seguida de comparação pareada com correção de Bonferroni. O teste de Kruskal Wallis comparou os grupos para análise do modo de falha (α = 0,05). Resultados: a granulação Super fina apresentou a maior média de µTBS em comparação com o controle para ambos os agentes intermediários, IM e após TC (P <0,05). Não houve diferença entre granulação fina e aplicação de laser para todos os grupos (P> 0,05). IM, Adesivo apresentou a µTBS mais alta em comparação com TC, Resina Fluida para todos os grupos testados. Os palitos asperizados com pontas de granulações Fina e Superfina apresentaram falhas adesivas significativamente menores do que as asperizadas com Laser. Resina Fluida sofreu falhas adesivas significativamente maiores do que aquelas com Adesivo. Para grupos testados TC; palitos tratados com ponta Superfina e Adesivo apresentaram falha adesiva significativamente menor com P = 0,029. Conclusão: a granulação Superfina e o Adesivo fornecem a maior µTBS e o mínimo de falha adesiva; além disso, o TC resultou em uma diminuição significativa da µTBS. (AU)

What is the changing frequency of diamond burs?

PURPOSE: The purpose of this study was to determine the changing frequency of a diamond bur after multiple usages on 3 different surfaces. MATERIALS AND METHODS: Human premolar teeth (N = 26), disc shaped direct metal laser sintered CoCr (N = 3) and zirconia specimens (N = 3) were used in this study. Groups named basically as Group T for teeth, Group M for CoCr, and Group Z for zirconia. Round tapered black-band diamond bur was used. The specimens were randomly divided into three groups and placed with a special assembly onto the surveyor. 1, 5, and 10 preparation protocols were performed to the first, second, and third sub-groups, respectively. The subgroups were named according to preparation numbers (1, 5, 10). The mentioned bur of each group was then used at another horizontal preparation on a new tooth sample. The same procedure was used for CoCr and zirconia disc specimens. All of the bur surfaces were evaluated using roughness analysis. Then, horizontal tooth preparation surfaces were examined under both stereomicroscope and SEM. The depth maps of tooth surfaces were also obtained from digital stereomicroscopic images. The results were statistically analyzed using One-Way ANOVA, and the Tukey HSD post-hoc tests (α=.05). RESULTS: All of the groups were significantly different from the control group (P < .001). There was no significant difference between groups Z5 and Z10 (P=.928). Significant differences were found among groups T5, M5, and Z5 (P < .001). CONCLUSION: Diamond burs wear after multiple use and they should be changed after 5 teeth preparations at most. A diamond bur should not be used for teeth preparation after try-in procedures of metal or zirconia substructures.

The Effect of Multiple Sterilisation Cycles on Cutting Efficiency of a Diamond Bur

@#Introduction: Sterilisation is an essential step in the reprocessing of reusable dental instruments including burs that have become contaminated, or potentially contaminated. Transmission of disease or infection may happen as an effect of improper sterilisation of the reused instruments. Dental burs are one of the essential tools in any conservative dental procedures, which undergo multiple sterilisation cycles before being discarded. However, repeated sterilisation process is associated with the reduction in cutting efficiency of a bur that is potentially due to corrosion. Thus, this study aims to compare the effect of two sterilisation methods on cutting efficiency of a diamond bur that is commonly used in dental procedures. Methods: 30 fissure diamond burs were randomly divided into three sterilisation groups: Group A (dry heat), B (steam under pressure) and C (control). Each bur was used to cut teeth for 45 seconds for ten cycles. Between cuts, the burs underwent sterilisation based on their sterilisation groups. Amount of cutting weight was measured after each cut. Results: This study shows that no significant difference (p>0.05) in the cutting efficiency of the burs following sterilisation of Groups A and B. However, there is a significant mean difference (p<0.05) of cutting efficiency between burs in Groups A, B, and C. Conclusion: Multiple sterilisation cycles is one of the factors that contribute to the cutting ability and effectiveness of a bur. However, there is no significant difference between dry heat and steam under pressure sterilisation methods toward the cutting efficiency of a bur.

Influência do modelo e marca de ponta diamantada na resistência flexural / Influence of model and brand of diamond bur in flexural strength

Introdução: As pontas diamantadas são instrumentos rotatórios abrasivos utilizados principalmente na odontologia restauradora para realização de preparos dentários e acabamentos de restaurações. Estes instrumentos são formados por uma haste metálica, eixo intermediário e ponta ativa. Objetivo: Mensurar a resistência flexural da haste e intermediário de pontas diamantadas de seis marcas comerciais diferentes disponíveis no mercado brasileiro. Materiais e Métodos: utilizou- se 60 pontas diamantadas, sendo 30 pontas 2200 (n=5) e 30 pontas 2130 (n=5), das marcas KG Sorensen, Option, Microdont, FAVA, Zeep, Vortex. Os instrumentos rotatórios foram posicionados em dispositivo que permitiu que suas extremidades fossem apoiadas sobre bases metálicas; submetidas à Máquina Universal de Ensaio (EMIC), para mensurara força máxima aplicada em um deslocamento de 3 mm. Para o padrão de falha, verificou-se se as pontas sofreram dobras ou fraturas totais. Resultado: os instrumentos rotatórios da marca KG Sorensen destacaram-se em todos os testes, apresentando elevados valores de resistência flexural tanto para haste quanto para intermediário; não apresentando nenhuma falha do tipo fratura total. A marca Option apresentou o maior índice de instrumentos com falha do tipo fratura total.Conclusão: não existe padronização da resistência flexural entre as marcas comercias, sendo que a utilização de instrumentos com baixa resistência pode ocasionar maiores taxas de falha, danificando o equipamento ou causar injurias aos tecidos do paciente.

Introduction: The diamond burs are rotary abrasives instruments primarily used in restorative dentistry to perform dental preparations and finishing restorations. These instruments consist of shank, intermediate shaft and head. Objective: To measure the flexural strength of the shank and intermediate shaft diamond burs of six different commercial brands available in the Brazilian market. Methods: 60 diamond burs, 30 burs 2200(n = 5) and 30 burs 2135 (n = 5), of brands KG Sorensen, Option, Microdont, FAVA, Zeep, Vortex were used. The rotary instruments were placed in the device that allowed its ends were supportedon metal bases; submitted to Universal Testing Machine (EMIC), to measure the maximum force applied a displacement of 3mm. For the standard fault, it was found that the burs suffered bends or total fractures. Results: It was observed that the rotary instruments KG Sorensen, stood out all tests, showing high values of flexural strength for shank and intermediate shaft; showing no fault of type fracture total. Option had the highestrate of failure type instruments with total fracture. Conclusion: There is no standardization between the flexural trademarks, and the use of instruments with low resistance may cause higher rates of failure, damaging the equipment or cause injuries to the tissues of the patient.

Influence of ultrasound and diamond burs treatments on microtensile bond strength.

Objective: To compare surface treatments with CVDentUS ® ultrasound tips (UT) and KGSorensen ® diamond burs (DB) on etched (e) and non-etched (n/e) dentin. The microtensile bond strength (μTBS) was measured and fractography was assessed by scanning electron microscope (SEM). Materials and Methods: Sixteen molars were divided into four groups of four teeth each according to treatment (DB-n/e; DB-e; UT-n/e; UT-e). The teeth were restored, sectioned into samples for μTBS (n=40) and tested on a EMIC DL-2000 universal machine (0.5 mm/min) and analyzed by SEM for fracture classification. Statistical Analysis: For analysis of the data on μTBS, the two-way ANOVA, using treatment and acid etching as fixed factor, and the Tukey test were used (α=0.05). To failures classification in cohesive in dentin (CD); cohesive in composite resin (CC); cohesive interfacial on base or top of hybrid layer (CBT); cohesive in adhesive (CA); mixed (M); interfacial on smear layer (S) the Fisher's exact test (α=0.05) was performed. Results: The mean values of μTBS (in MPa) in the different groups were as follows: UT-e: 45.31±8.16; DB-e: 34.04±9.29; UT-n/e: 15.17±3.71; and DB-n/e: 9.86±3.80. On analysis of the SEM micrographs, the DB-n/e group showed total obstruction of dentinal tubules; the UT-n/e group showed partial desobstruction of dentinal tubules and irregular surface; the DB-e group showed complete desobstruction of dentinal tubules; and the UT-e group showed complete desobstruction of dentinal tubules and irregular surface. Conclusion: The combination of ultrasound treatment and acid etching provides high values of μTBS. An association exists between CA/CC failures and the UT method, CBT failure and the DB method, CBT/CC failures and etching, S failure and non-etching.

An experimental study of cutting efficiency of air-driven diamond burs on human tooth / 대한치과보철학회지

PURPOSE: The purpose of this study was to investigate the cutting efficiency of coarse grit diamond burs with air-turbine handpiece on natural tooth. MATERIALS AND METHODS: Four groups of coarse grit diamond bur were selected: Komet (A), Shofu (B), Premier (C), and Mani (D). The extracted maxillary central incisors were used, and ten cuts were made on each specimen, using the rotary diamond burs. The surface of each bur was measured at the upper, middle, and bottom of the bur with confocal laser scanning microscope and imaged with SEM. The data were analyzed with one-way ANOVA and t-test at the significance level of 0.05. RESULTS: The surface roughness was measured. At the A diamond bur, the Sa values were 52.93 microm, 48.32 microm, 46.79 microm, 45.06 microm, and 43.43 microm for control, test 1, 2, 3, and 4 respectively. The Sa values were 50.68 microm, 45.62 microm, 44.41 microm, 44.10 microm, and 42.46 microm for B diamond bur, 58.02 microm, 55.53 microm, 52.22 microm, 48.26 microm, and 45.36 microm for C diamond bur, and 50.11 microm, 46.73 microm, 45.46 microm, 42.58 microm, and 41.80 microm for D diamond bur. Surface roughness after each bur use showed significant changes, but no significant difference was found in surface roughness change between bur systems. CONCLUSIONS: Surface roughness in the same bur system showed significant differences after each tooth preparation. However no statistically significant differences were found in surface roughness between bur systems. The SEM images between control and test 4 showed the abraded particles.

Influência da técnica de preparo cavitário na microinfiltração marginal em restaurações de dentes decíduos / Evaluation of the cavity prepare shape on the marginal microleakage in deciduous teeth

O objetivo desse trabalho foi avaliar a influência da forma do preparo cavitário na microinfiltração marginal em restaurações em dentes decíduos. Foram preparadas canaletas medindo 2,0 mm nas faces vestibular e lingual de molares decíduos que foram divididas aleatoriamente em 3 grupos de acordo com a técnica de preparo cavitário: Grupo I - alta rotação associado à ponta diamantada; Grupo II ­ sistema de abrasão a ar; e Grupo III ­ laser Er:YAG. Após o condicionamento com ácido fosfórico por 15 segundos, foi utilizado o adesivo Single Bond (3M) e a resina Filtek Flow (3M) para restaurar as canaletas. Os espécimes foram então mantidos em estufa a 37o C por 6 dias, termociclados (500 ciclos com temperatura variando entre 5 e 55o C), isolados e colocados em solução de fucsina básica à 0,5% durante 24 horas. Após serem seccionados a microinfiltração foi avaliada em microscópio ótico ligado a uma câmera de vídeo com 10 X de aumento. Para se avaliar a forma das cavidades medimos os ângulos oclusal, cervical e de abertura das cavidades, bem como a largura e a profundidade das mesmas por meio de fotomicrografias obtidas em MEV. Os resultados demonstraram semelhança estatística entre as larguras dos preparos cavitários, porém os ângulos oclusal, cervical e de abertura das cavidades apresentaram-se diferentes estatisticamente e que não houve microinfiltração marginal em nenhum dos grupos avaliados e que a diferença na forma de preparo das cavidades não influenciou na microinfiltração marginal dos espécimes estudados

The aim of this research was the evaluation of the cavity prepare technique on the marginal microleakage in deciduous teeth. Cavities measuring 2.0 mm were prepared on the buccal and lingual faces and were divided into three groups according to the cavity prepare technique: Group I ­ High speed associated to diamond bur; Group II ­ air abrasion system; and Group III ­Er:YAG laser. After the phosphoric acid etching for 15 seconds, the Single Bond (3M) adhesive and the Filtek Flow (3M) were used for the restoration of the cavities. Then the sample was stored at 37o C for 6 days, termocycled (500 cycles with temperature varying from 5 to 55o C), isolated and immersed in a 0.5% fucsin solution for 24 hours. After being sectioned the microleakage was examined with a magnification optical microscope connected to a color video camera. In order to evaluate the shape of the cavities the occlusal, cervical and cavity opening angles were measured, as well as the width and depth of then, using SEM photographs. The results showed that there was no marginal microleakage in any of the evaluated groups and that the difference in the cavity shape did not influence the marginal infiltration on the studied sample