Adhesion and Surface Roughness of Apatite-Containing Carbomer and Improved Ionically Bioactive Resin Compared to Glass Ionomers.

The surface roughness of different glass-ionomer-based materials and their shear bond strength with a resin composite with and without thermal cycling were evaluated. Ketac Molar (KM, 3M ESPE, St. Paul, MN, USA), Glass Carbomer (GC, GCP Dental, Leiden, The Netherlands), Bioactive (BA, PULPDENT, Corporation, Watertown, MA, USA) and Fuji II LC (FJ, GC, Tokyo, Japan) were used to prepare the specimens and they were kept in distilled water at 37 °C for 24 h. The surface roughness of the specimens was measured with a profilometer (n = 6). A universal adhesive resin was applied on glass-ionomer materials and cylindrical universal composites were applied and polymerized, respectively (n = 16). The specimens were divided into two subgroups. The first subgroup was subjected to thermal cycling. Shear bond strength was investigated for both subgroups (n = 8). Stereomicroscopy and SEM examinations were performed. The roughest surface was obtained in the GC group (p < 0.05). The shear bond strength of the specimens without thermal cycling was higher than that of those with thermal cycling (p < 0.05). The lowest shear bond was measured in the GC group (p < 0.05). Although FJ, KM and BA have been observed to be suitable materials for clinical use, BA, in particular, is evidenced to become the best option among the materials we tested. GC cement's long-term performance needs to be improved.

Effect of surface sealant on the surface roughness of different composites and evaluation of their microhardness.

PURPOSE: The aim of this study was to evaluate the effect of a surface sealant on the surface roughness of different composites and compare their microhardness values. MATERIALS AND METHODS: Sixty disc-shaped specimens were prepared and assigned to 6 groups (n =10). Groups were prepared as follows; Group 1 (Herculite XRV Ultra), Group 2 (Beautifil Bulk Restorative) and Group 3 (Filtek Bulk Fill Posterior Restorative). Groups 4, 5, and 6 were prepared by applying a surface sealant (BisCover LV) on the specimens in groups 1, 2 and 3. Surface hardness of the discs in group 1, 2, and 3 and surface roughness of the discs in all groups were measured using the Vickers hardness test and a profilometer, respectively. One-way ANOVA was used to test for differences among the groups. RESULTS: No significant differences were observed in the microhardness and roughness between the experimental and control groups for each restorative materials. Group 3 showed the highest surface hardness and group 4 showed the lowest surface roughness values. CONCLUSION: Using the BisCover LV resin after the polishing step has no significant effect on the surface roughness. The highest hardness values were obtained for the Filtek Bulk Fill Posterior Restorative after the polishing step. The smoothest surfaces were obtained for all experimental groups using the BisCover LV resin after the polishing step, Herculite XRV Ultra showed lower average roughness values than the other materials.

Effect of different polishing techniques for composite resin materials on surface properties and bacterial biofilm formation.

OBJECTIVES: Both direct and indirect techniques are used for composite resin material (CRM) restorations. Polishing processes are needed in both techniques after intraoral adjustment. However, it is unclear as to which polishing technique should be preferred with respect to decreasing biofilm. The purpose of thisin vitro study was to evaluate the surface properties and Streptococcus mutans biofilm formation on direct and indirect CRMs after using different polishing techniques. METHODS: Two CRMs (direct and indirect) and four polishing techniques (aluminium oxide discs, diamond polishing paste, aluminium oxide polishing paste, and silicon carbide brush) were evaluated. The specimens were prepared for taking scanning electron microscopy images (n = 2) and determining surface roughness, surface free energy, and bacterial biofilm formation (BBF) with colony-forming unit counting and confocal laser scanning microscopy assays (n = 7). The data were analysed using two-way analysis of variance with Bonferroni as a post hoc test and Pearson's correlation (p < .05). RESULTS: The surface roughness values in the control group were higher than those in the diamond polishing paste group (p = 0.025), but the values in the aluminium oxide polishing paste and silicon carbide brush groups were comparable with those in the control group (p =  0.156 and p =  1.000, respectively). The highest surface free energy values were recorded in the silicon carbide brush group (p < 0.001), whereas there were no differences found among the other groups (p > 0.05). The highest BBF was seen in the silicon carbide brush (p <  0.001) and direct CRM (p < 0.001) groups. CONCLUSION: BBF on the surface of direct CRMs differed from that on indirect CRMs after polishing the surface. The tested polishing techniques significantly influenced surface properties and BBF. CLINICAL SIGNIFICANCE: In situations that require the intraoral adjustment of CRMs, polishing with a diamond polishing paste seems to be a good option to polish the surface of both direct and indirect CRMs because the diamond polishing paste results better in terms of decreasing biofilm formation and improving surface properties.

Mechanical properties of bulk-fill versus nanohybrid composites: effect of layer thickness and application protocols / Propriedades mecânicas de compósitos de resina bulk versus nano-híbrida: efeito da espessura da camada e protocolos de aplicação

Objective: The objective of this study was to evaluate the compressive strength, flexural strength and flexural modulus of high-viscosity, low-viscosity bulk-fill, and conventional nanohybrid resin composite materials alone and when covered with nano-hybrid resin composite at different incremental thicknesses on the bulk-fill composites. Material and Methods: Specimens (N=60) were fabricated from the following materials or their combinations (n=10 per group): a) conventional nano-hybrid composite Z550 (FK), b) high-viscosity bulk-fill composite (Tetric N Ceram-TBF), c) low-viscosity bulk-fill composite SDR (SDR), d) Sonicfill (SF), e) SDR (2 mm)+FK (2 mm), f) SDR (4 mm)+FK (4 mm). After 24 h water storage, compressive strength was measured in a universal testing machine (1 mm/min). Additional specimens (N=40) (25x2x2 mm3) were made from FK, TBF, SDR and SF in order to determine the flexural strength and the flexural modulus, (n=10) and subjected to three-point bending test (0.5 mm/min). Data were analyzed using one-way ANOVA and Tamhane's T2 post-hoc tests (p p<0.05). Results: The mean compressive strength (MPa) of the nano-hybrid composite (FK) was significantly higher (223.8±41.3) than those of the other groups (123±27 - 170±24) (p <0.001). SDR (4 mm)+FK (2 mm) showed significantly higher compressive strength than when covered with 4 mm (143±30) or when used alone (146±11) (p <0.05). The mean flexural strength (159±31) and the flexural modulus of FK (34±7) was significantly higher than that of the high- or low-viscosity bulk-fill composites (p<0.001). The mean flexural strength of SF (132±20) was significantly higher compared to TBF (95±25) (p <0.05). Conclusion: Bulk-fill resin composites demonstrated poorer mechanical properties compared to nano-hybrid composite but similar to that of SF. Increasing the thickness of low-viscosity bulk-fill composite (SDR) from 2 to 4 mm underneath the nano-hybrid composite (FK) can improve the mechanical properties of the bulk-fill composites.(AU)

Objetivo: O objetivo deste estudo foi avaliar a resistência à compressão, resistência à flexão e módulo de flexão de materiais compósitos de alta viscosidade, baixa viscosidade e compósitos nanohíbridos convencionais e quando cobertos com resina composta nano-híbrida em diferentes espessuras incrementais sobre os compósitos de resina tipo bulkfilll. Material e Métodos: Os espécimes (N = 60) foram fabricados a partir dos seguintes materiais ou suas combinações (n = 10 por grupo): a) compósito nano-híbrido convencional Z550 (FK), b) compósito de bulk-fill de alta viscosidade (Tetric N CeramTBF), c) compósito SDR (SDR) de bulk-fill de baixa viscosidade, d) Sonicfill (SF), e) SDR (2 mm) + FK (2 mm), f) SDR (4 mm) + FK (4 mm). Após 24 h de armazenamento em água, a resistência à compressão foi medida em uma máquina universal de ensaios (1 mm / min). Espécimes adicionais (N = 40) (25x2x2 mm3) foram confeccionados com FK, TBF, SDR e SF para determinação da resistência à flexão e do módulo de flexão, (n = 10) e submetidos ao teste de flexão de três pontos (0,5 mm / min). Os dados foram analisados utilizando one-way ANOVA e testes post-hoc T2 de Tamhane (p <0,05). Resultados: A resistência média à compressão (MPa) do compósito nano-híbrido (FK) foi significativamente maior (223,8 ± 41,3) que os demais grupos (123 ± 27 - 170 ± 24) (p <0,001). SDR (4 mm) + FK (2 mm) apresentou resistência à compressão significativamente maior do que quando coberta com 4 mm (143 ± 30) ou quando usada sozinha (146 ± 11) (p <0,05). A resistência à flexão média (159 ± 31) e o módulo de flexão de FK (34 ± 7) foram significativamente maiores do que os compósitos do tipo bulk-fill de alta ou baixa viscosidade (p <0,001). A resistência à flexão média do FS (132 ± 20) foi significativamente maior em comparação ao TBF (95 ± 25) (p <0,05). Conclusão: Os compósitos de resina do tipo bulk-fill demonstraram propriedades mecânicas mais insatisfatórias em comparação com o compósito nano-híbrido, mas semelhantes aos do SF. O aumento da espessura do composto de bulkfilll de baixa viscosidade (SDR) de 2 a 4 mm sob o compósito nano-híbrido (FK) pode melhorar as propriedades mecânicas dos compósitos de bulk-fill.(AU)

Color Stability of Composites After Short-term Oral Simulation: An in vitro Study.

BACKGROUND: Although most of the studies investigated color stability of different restorative materials, evaluation of color stability of composites after immersion in multiple beverages in the same day by an in vitro oral simulation study is unclear. OBJECTIVE: To assess color change of different restorative materials at the end of days 1, 14, and 30 of immersion in multiple liquid types to mimic the oral environment in vitro. METHOD: Ten disc-shaped specimens were made from each of four different resin composites (Filtek Z250, Voco x-tra base, Beautifil Flow Plus, Beautifil II). Baseline color value of each sample was measured using a spectrophotometer. Each composite was respectively immersed in coffee, an orange/pomegranate juice mixture, black tea, and a mouth rinse on the same day to mimic daily liquid consumption of individuals. Color measurements were taken after 1, 14, and 30 days by spectrophotometer and color change values were calculated. Statistical analyses were executed by one-way ANOVA/Tukey HSD and repeated-measures ANOVA. RESULTS: All materials showed significant color change after 1, 14, and 30 days (P < 0.01) of immersion in liquids, with the lowest color alteration observed at the 1st day and the highest observed after the 30th day. Among the materials tested, at each time point (1, 14, and 30 days), the lowest color alteration was detected in Filtek Z250 and the highest color alteration was detected in Beautifil II. CONCLUSION: Color alteration of composite resins is affected by composite type and storage time. With the exception of 1 day of storage, color changes of all materials were substantial and clinically unacceptable.

Effect of Different Antioxidants on the Microtensile Bond Strength of an Adhesive System to Sodium Hypochlorite-treated Dentin.

PURPOSE: To evaluate the effects of different antioxidant treatments on the microtensile bond strength of an adhesive system to sodium hypochlorite (NaOCl)-treated dentin. MATERIALS AND METHODS: Thirty extracted third molars were sectioned 3 mm below the occlusal surface and divided into six groups according to the antioxidant treatment received: control group: distilled water; NaOCl group: 5.25% NaOCl and distilled water; proanthocyanidin (PA) group: 5.25% NaOCl, 5% PA and distilled water; 1-week storage group: 5.25% NaOCl and storage for 1 week in distilled water; Accel group: 5.25% NaOCl, Accel, and distilled water; noni group: 5.25% NaOCl, noni fruit juice, and distilled water. NaOCl, PA, Accel, noni, and distilled water were administered for 30 s, 10 min, 30 s, 10 min, and 30 s, respectively. A self-etching adhesive system (Single Bond Universal Adhesive) was applied to each specimen and a resin composite (Filtek Z550) was built up to a height of 5 mm on the dentin surface. Each specimen was serially sectioned to obtain sticks with a cross-sectional area of 1 mm2, and their microtensile bond strength was determined. Statistical differences between groups were analyzed using one-way ANOVA and Tamhane's T2 test. RESULTS: Microtensile bond strength in the NaOCl group was significantly lower than in all other groups. However, there were no significant differences in the bond strength between the groups treated with different antioxidants. CONCLUSIONS: NaOCl significantly reduced the microtensile bond strength of the adhesive system. The application of PA, Accel, and noni fruit juice to NaOCl-treated dentin significantly improved the microtensile bond strength.