Canal disinfection using Nd: YAG Laser, synchronized microbubble-photodynamic activation, and carbon quantum dots on microhardness, smear layer removal, and extrusion bond strength of zirconia post to canal dentin. An invitro scanning electron microscopic analysis.

Evaluation of the impact of the latest root canal disinfectant, that is carbon quantum dots (CQDs), synchronized microbubble-photodynamic activation (SYMPA), and Nd: YAG laser along with ethylenediaminetetraacetic acid (EDTA) as a final irrigant on the Marten hardness (MH), smear layer (SL) removal, and extrusion bond strength (EBS) of zirconia post to the canal dentin. Eighty intact single-rooted premolars were obtained and disinfected using 0.5% chloramine-T solution. Root canal preparation was performed using ProTaper files followed by obturation. The post space was prepared for prefabricated zirconia post and all the teeth were randomly divided into four groups based on the disinfection used (n = 20 each) Group 1: 5.25% NaOCl + 17% EDTA (Control), Group 2: Nd: YAG laser + 17% EDTA, Group 3: SYMPA + 17% EDTA, and Group 4: CQDs + 17% EDTA. MH, SL removal, and EBS of zirconia post-bonded to root dentin were performed using a microhardness tester, scanning electron microscope (SEM), and universal testing machine, respectively. Both intragroup and intergroup comparisons were performed using one-way analysis of variance (ANOVA) and posthoc-Tukey test for significant difference (p < .05). Group 2 samples (Nd: YAG laser + 17% EDTA) (0.24 ± 0.06 GPa) exhibited highest values of MH. Samples in group 3 (SYMPA + 17% EDTA) treated teeth unveiled the lowest MH scores (0.13 ± 0.02 GPa). Moreover, the coronal third of Group 3 specimens (SYMPA and 17% EDTA) (1.54 ± 0.31) eliminated SL from the canal with the greatest efficacy as well as presented the highest EBS (10.13 ± 0.69 MPa). However, the apical third of Group 1 samples (5.25% NaOCl + 17% EDTA) (2.95 ± 0.33) exhibited the least efficient elimination of SL from the radicular dentin as well as the lowest bond strength (5.11 ± 0.19 MPa) of zirconia post to the dentin. The SYMPA technique with 17% EDTA proved highly effective in removing the SL from canal dentin and enhancing the EBS of zirconia posts. The least preferable method for SL removal and MH improvement was found to be 5.25% NaOCl + 17% EDTA. CQDs and Nd: YAG laser demonstrated satisfactory smear layer removal properties from the canal, along with achieving appropriate bond strength of zirconia posts. RESEARCH HIGHLIGHTS: Nd: YAG laser and 17% EDTA as canal disinfectant exhibited the highest values of MH. Specimens irrigated with SYMPA and 17% EDTA eliminated SL from the canal with the greatest efficacy. The coronal third of Group 3 (SYMPA + 17% EDTA) samples unveiled the highest zirconia post-bond integrity score to the canal dentin. Cohesive failure was a dominant failure type among different experimental groups.

Effect of Casein Phosphopeptide-Amorphous Calcium Phosphate, Proanthocyanidin, Carbon Dioxide Laser Remineralization on the Bond Integrity of Composite Restoration Bonded to Caries-Affected Dentin.

Objective: Assessment of different remineralizing pretreatment casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), proanthocyanidin (PA), carbon dioxide laser (CO2), eggshell solution (ES) on the shear bond strength (SBS) of resin composite bonded to remineralized carious-affected dentin (CAD). Materials and methods: Eighty human molars were collected with occlusal caries that extended about halfway into the dentin. Using a water-cooled, low-speed cutting saw, a flat, mid-coronal dentin surface was exposed. CAD was differentiated from healthy dentin. Based on the remineralizing agent used on the CAD surface, the teeth were arbitrarily allocated into five groups (n = 10). Group 1: no remineralizing agent, Group 2: CPP-ACP, Group 3: 6.5% PA solution, Group 4: CO2 laser, and Group 5: ES solution. All samples were bonded to composite and light cured and thermocycled. SBS and failure mode analysis were performed using universal testing and stereomicroscope 40 × . Using SPSS, SBS, and failure mode data were analyzed using analysis of variance and Tukey's honesty significant difference (HSD) test Results: Group 3 (6.5% PA solution; 15.59 ± 1.44 MPa) samples established the maximum bond integrity. Nevertheless, Group 1 (No remineralizing agent; 11.19 ± 1.21 MPa) exhibited the minimum outcome of bond strength. Intergroup comparison analysis showed that Group 1 (No remineralizing agent), Group 2 (CPP-ACP), and Group 4 (CO2 laser) established comparable values of bond strength (p > 0.05). Likewise, Group 3 (6.5% PA solution) and Group 5 (EA solution) also revealed equivalent bond integrity (p > 0.05). Conclusions: PA and ES are considered potential remineralizing agents used for caries-affected dentin surfaces in improving bond integrity to composite resin. However, further studies are advocated to extrapolate the findings of this study.

Surface conditioning of PEEK post using Nd: YVO4 laser, photodynamic therapy, and sulfuric acid on the pushout bond strength to canal dentin.

AIM: To assess the push-out bond strength (PBS) of polyetheretherketone (PEEK) post-to-root dentin using post-surface conditioners i.e., Neodymium-doped yttrium orthovanadate (Nd: YVO4) and Riboflavin (RF) and Rose Bengal (RB) mediated photodynamic therapy (PDT) compared to sulfuric acid (SA). MATERIALS AND METHODS: Decoronation of forty human single-rooted premolar teeth was performed. Followed by chamber opening, working length (WL) was established at 15 mm. Root canal preparation was completed using ProTaper Ni-Ti rotary system till F3 finishing file along with root canal disinfection. The canals were dried with paper cones followed by obturation using gutta-percha (GP) and AH sealer. Post space was prepared by drilling out 11 mm of GP using a Gates Glidden drill #3. PEEK posts were fabricated using the CAD-CAM system and then randomly allocated into 4 groups based on the post-surface conditioning (n = 10). Group 1: SA, group 2: PDT RF, group 3: PDT RB, and group 4: Nd: YVO4 laser. The PEEK post was then cemented in their respective canal. PBS and failure mode assessment were performed using a universal testing machine and stereomicroscope at 40x magnification. The SBS data set was subjected to a one-way analysis of variance (ANOVA) and Tukey's Post Hoc test at a significance level of 0.05. RESULTS: The samples in group 4 (Nd: YVO4 laser) coronal third (7.99±0.24 MPa) demonstrated the highest PBS. The apical third of samples in group 1 PEEK post surface conditioned with SA (5.15± 0.52 MPa) exhibited the minimum values of PBS. Intergroup comparison analysis showed that samples in group 1 (SA), group 2 (RF activated by PDT), group 3 (RB activated by PDT), and group 4 (Nd: YVO4 laser) demonstrated comparable outcomes of bond scores (p>0.05) CONCLUSION: Neodymium-doped yttrium orthovanadate (Nd: YVO4) and riboflavin and Rose bengal activated by photodynamic therapy (PDT) have been investigated as potential alternatives for the surface conditioning of PEEK (polyetheretherketone) posts.

Adhesive bond of Bioactive and bulk fill resin to disinfected caries affected dentin (lactobacillus specie) with laser and photodynamic therapy.

AIMS: To evaluate the antimicrobial effectiveness of cavity disinfectants chlorhexidine gluconate (CHX), Er, Cr, YSGG laser (ECL), and curcumin photosensitizer (CP) against Lactobacillus and shear bond strength (SBS) of Bioactive (BA) and bulk fill composite (BFC) restorative material bonded to carious affected dentin (CAD). MATERIALS AND METHODS: Sixty human mandibular molars scored 4 and 5 on the International Caries Detection and Assessment System (ICDAS) were included. After inoculating the specimens with lactobacillus specie all the samples were arbitrarily divided into three groups based on the disinfection regime used (n=20). Groups 1 and 2: CAD disinfection using ECL, Groups 3 and 4: CAD disinfection using CP, and Groups 5 and 6: CAD disinfection using CHX. After cavity sterilization, the survival rate was estimated and each group was further divided into two sub-groups based on the restorative material used. Groups 1, 3, and 5 (n = 10) were restored using BFC restorative material, and groups 2, 4, and 6 (n = 10) were restored using a conventional bulk-fill resin material. A universal testing machine (UTM) was used to determine the SBS and debonded surfaces were examined under a stereomicroscope to determine the modes of failure. Kruskal-Walis, ANOVA, and Post Hoc Tukey were applied to investigate the survival rate and bond strength values. RESULTS: ECL group displayed the highest survival rate (0.73±0.13) of Lactobacillus. The least survival rate (0.17±0.09) was demonstrated by CP activated by PDT. Group 1 (ECL+ BA) treated specimens exhibited the maximum value of SBS (18.31 ± 0.22 MPa). However, group 3 (CP + BA) revealed the minimum values of bond strength (14.05 ± 1.02 MPa). The intergroup comparison revealed that group 1, group 2 (ECL+BFC) (18.11 ± 0.14 MPa), group 5 (CHX+ BA) (18.14 ± 0.36 MPa), and group 6 (CHX+BFC) (18.18 ± 0.35 MPa) displayed comparable outcomes of bond integrity (p>0.05). CONCLUSION: Caries-affected dentin disinfected with Er, Cr: YSGG, and chlorhexidine improve bond scores of bioactive and conventional bulk-fill restorative material.

Interaction of zirconium oxide nanoparticle infiltrated resin adhesive with dentin conditioned by phosphoric acid and Er, Cr: YSGG laser.

The aim was to prepare experimental adhesive (EA) with ZrO2 nanoparticles (ZEA) and without it; and its interaction with dentin conditioned with photodynamic therapy (PDT), etch and rinse, and Er, Cr: YSGG laser (ECL). Methods consisted of the scanning electron microscope (SEM), energy dispersive X-ray (EDX), shear bond strength (SBS) failure mode, and rheological property analysis. The methods were employed to assess bond integrity; the shape of ZrO2 NPs and interfacial dentin and adhesive interaction. Ninety premolar teeth were collected and pre-bonding, conditioning of dentin was performed utilizing phosphoric acid (H3PO4), photodynamic therapy (PDT), and ER-CR-YSGG laser (ECL). The teeth were set to form bonded specimens using two adhesives EA and ZEA. The microscopic imagery of ZrO2 revealed irregular-shaped, non-edged particles. EDX analysis revealed Zr to be 75.7% whereas, O2 by weight was 25.3%. The highest SBS was demonstrated in dentin conditioned with etch and rinse and ZEA (19.05 ± 0.13 MPa). Whereas, the lowest SBS was observed in dentin surface treated with PDT and EA (12.25 ± 0.14 MPa). Most of the reported failure modes were adhesive. Rheological analysis revealed that with increasing frequencies the viscosities of adhesives were reduced. The presence of 10% ZrO by weight in adhesive improves SBS of restoration and this improvement in bond values is statistically significant compared to EA. Bond values may be influenced by surface treatment of dentin.

Assessment of Caries-Affected Dentin Adhesive Interface Treated with Contemporary Conditioning Techniques.

Objective: The aim of this study was to assess shear bond strength (SBS) and failure analysis of adhesion of composite resin (CR) to caries-affected dentin (CAD) pretreated with the Er,Cr:YSGG (ECY) laser, photodynamic therapy (PDT), and etch and rinse (ER) used for cavity disinfection. Materials and methods: Methods used in this study included scanning electron microscopy (SEM), SBS analysis, failure analysis, and digital microscopy. The methods were adopted to assess bond integrity, CAD interface, smear layer, and hybridization. Thirty human third molars assessed clinically and having scores of 4 and 5 based on International Caries Detection and Assessment System (ICDAS) criteria were inspected. Infected dentin was removed. Dentin that was hard and stained pink was categorized as CAD. Ten samples were used in each group for pretreatment of CAD. Ten samples of healthy dentin [sound dentin (SD)] were collected separately and taken as controls. Samples were divided into the following groups: group 1: SD+ER; group 2: CAD+ER; group 3: CAD+ECY; and group 4: CAD+PDT after the pretreatment bonding agent was applied and the restorative procedure was performed using CR. Results: CAD conditioned with PDT before bonding to CR demonstrated the lowest SBS values (11.22 ± 0.77 MPa), whereas the highest SBS values were observed in the SD surface treated with ER (18.25 ± 1.22 MPa). In CAD and SD pretreated with ER, majority of failure modes were cohesive failure and admixed failure, whereas in CAD pretreated with PDT and the ECY laser, the adhesive failure mode was pertinent. Conclusions: The use of the ECY laser and PDT on CAD for cavity disinfection does not have potential for application in clinical settings as it decreases bond integrity of CR. Moreover, the ER pretreatment method for CAD and SD remains the gold standard.

Influence of methylene blue, Riboflavin, and indocyanine green on the bond strength of caries affected dentin when bonded to resin-modified glass ionomer cement.

AIM: The present study aimed to assess the influence of methylene blue (MBP), Riboflavin, and indocyanine green (ICG) on the bond strength of caries affected dentin (CAD) when bonded to resin-modified glass ionomer cement (RMGIC). MATERIALS AND METHODS: Human third molars with caries lesions were isolated and collected scrutinized based on ICDAS criteria. The teeth were cleaned using a periodontal scaler and disinfected. All samples were positioned in polyvinyl up to the cementoenamel junction. The samples were randomly distributed into five groups based on the pretreatment regime. Samples in group 1, were pretreated with MBP; group 2, polyacrylic acid (PAA) group 3, ICG, group 4, Riboflavin photosensitizer, and group 5, 37% phosphoric acid (PA). All samples were bonded with RMGIC. 10 samples were subjected to the universal testing machine for shear bond strength (SBS) testing. Five samples from each group were placed in fuchsine dye for the microleakage assessment. Comparison of means and standard deviations (SD) of SBS and microleakage in investigated groups was performed using analysis of variance (ANOVA) and Tukey's post hoc test at a significance level (p = 0.05) RESULTS: The highest micro shear bond values were observed in group 2 (CAD conditioned with PAA) (14.26±1.67 MPa). Whereas, the lowest bond values were found in group 1 (treated with MBP) (8.82±1.08 MPa). CAD conditioned with different photosensitizers i.e., MBP, ICG, and Riboflavin before bonding to RMGIC displayed comparable bond values (8.82±1.08 MPa), (9.47±0.21 MPa), and (11.23±0.47 MPa) respectively (p>0.05). Samples conditioned with 37% PA showed significantly higher microleakage scores compared to other surface-treated groups (p<0.05). CONCLUSION: Caries-affected dentin conditioned with polyacrylic acid demonstrated low microleakage and high bond strength.

Influence of ER-CR-YSGG Laser and Photodynamic Therapy on the Dentin Bond Integrity of Nano-Hydroxyapatite Containing Resin Dentin Adhesive: SEM-EDX, Micro-Raman, Micro-Tensile, and FTIR Evaluation.

The study aimed to analyze the effect of the addition of nano-hydroxyapatite (nano-HA) particles on the mechanical properties of experimental adhesive (EA). Furthermore, dentin interaction of EA (without nano-HA) and EA with nano-HA (hereon referred to as HA-10%) were also investigated and equated. Methods consisting of scanning electron microscopy (SEM)-energy-dispersive X-ray spectroscopy (EDX), micro-Raman spectroscopy, micro-tensile bond strength (µTBS) test, and Fourier transform infrared (FTIR) spectroscopy were employed to study nano-HA particles shape, dentin bond strength, degree of conversion (DC), and adhesive-dentin interaction. Ninety teeth (N = 90) were collected, and pre-bonding, conditioning of dentin was performed utilizing phosphoric acid (H3PO4) etching, photodynamic therapy (PDT), and ER-CR-YSGG (ECY) laser. The teeth were set to form bonded specimens using two adhesives. Nano-HA particles were spherical-shaped, and EDX confirmed the presence of oxygen, calcium, and phosphorus. Micro-Raman spectroscopy revealed distinct phosphate and carbonate peaks for nano-HA. The µTBS test demonstrated highest values for HA-10% group on the H3PO4 conditioned dentin. The greatest DC was observed for the EA group. The addition of nano-HA-10 wt.% particles in dentin adhesive resulted in improved bond strength. The incorporation also demonstrated acceptable DC (although lower than EA group), suitable dentin interaction, and resin tag formation.

Push out bond strength of glass fiber post to radicular dentin irrigated with Nisin and MTAD compared to methylene blue photodynamic therapy.

AIM: Present lab-based study intended to appraise the effect of nisin, Mixture of Tetracycline, Acid and Detergent (MTAD), and photodynamic therapy (PDT) when used as a canal disinfectant on push-out bond strength (PBS) of fiber post to radicular dentin MATERIALS AND METHODS: Forty uni-radicular premolar teeth were extracted and disinfected in 0.5 % thymol solution. All specimens were decoronated to achieve standardize root length of 14 mm. Cleaning and shaping of the canal were done using protaper NiTi system. The canal space was dried and obturated. Post space was prepared using peso reamers up to 10 mm length and samples were randomly divided into 4 groups (n = 10). Group 1 irrigated with 10 % Nisin with MTAD, group 2: 1.3 % NaOCl and MTAD, Group 3 irrigated with 2.5 % NaOCl and 17 % EDTA and post space of samples in group 4 with PDT with MTAD. Fiber-reinforced composite post (FRCP) was fitted in canal space using self-etch resin cement. Each sample was cut into 1 mm from coronal, middle, and apical and subjected to PBS via a universal testing machine. For comparison of means, Analysis of variance (ANOVA) and Tukey multiple comparison test was used maintaining the level of significance at p < 0.05. RESULT: Samples in group 3 post space irrigated with 2.5 % NaOCl and 17 % EDTA demonstrated the highest PBS at all root levels (cervical: 8.83 ± 0.14 MPa, middle: 7.63 ± 0.82 MPa and apical: 5.82 ± 0.32 MPa) in comparison to other tested groups. Whereas, group 1 in which Nisin 10 % with MTAD was used as a canal disinfectant displayed the lowest PBS at all levels (cervical: 6.91 ± 0.54 MPa, middle: 6.15 ± 0.31 MPa, and apical: 3.62 ± 0.68 MPa). CONCLUSION: Post space irrigated with 1.3 % NaOCl and MTAD shows PBS similar to control group 2.5 % NaOCl and 17 % EDTA. Both types of irrigation methods have potential and can be recommended in clinical scenarios. Whereas, 10 % Nisin and PDT with MTAD as chelator needs further inquiry.

The Effect of Irradiance on the Degree of Conversion and Volumetric Polymerization Shrinkage of Different Bulk-Fill Resin-Based Composites: An In Vitro Study.

OBJECTIVE: The influence of different light-emitting diode (LED) curing light intensities on the degree of conversion (DC) and volumetric polymerization shrinkage (VPS) of bulk-fill resin-based composite (RBC) restorative materials was evaluated. MATERIALS AND METHODS: Twenty-four specimens of each RBC material (Filtek one bulk-fill posterior, Reveal HD Bulk, Tetric N-Ceram, and Filtek Z350) were prepared. The RBCs were shaped in molds and cured using an LED curing light unit at high-intensity (1,200 mW/cm2) for 20 seconds and low-intensity (650 mW/cm2) for 40 seconds Fourier-transform infrared (FTIR) spectroscopy was used to determine the DC and microcomputed tomography was used to evaluate VPS. Data were analyzed using one- and two-way ANOVA, independent t-test, and Tukey's and Scheffe's post hoc multiple comparison tests. RESULTS: With high-intensity curing light, Reveal HD showed the highest DC (85.689 ± 6.811%) and Tetric N-Ceram the lowest (52.60 ± 9.38%). There was no statistical difference in VPS when using high- or low-intensity curing light. The highest VPS was observed for Reveal HD (2.834-3.193%); there was no statistical difference (p > 0.05) among the other RBCs. CONCLUSION: Curing light intensities do not significantly influence the VPS of RBC materials. Reveal HD bulk cured with high-intensity light had the highest DC.

The Effects of Irradiance on Translucency and Surface Gloss of Different Bulk-Fill Composite Resins: An in vitro Study.

PURPOSE: The influence of different light-emitting diode (LED) curing light intensities on the translucency and surface gloss of bulk-fill resin-based composite (RBC) restorative materials was evaluated. MATERIALS AND METHODS: Forty specimens of each RBC (Filtek One bulk-fill posterior, Reveal HD bulk, Tetric N-Ceram, and Filtek Z350) were prepared. The RBCs were shaped into molds and cured using an LED curing light unit at high intensity (1,200 mW/cm2) for 20 s and low intensity (650 mW/cm2) for 40 s. A spectrophotometer was used to determine the translucency, and a gloss meter was used to evaluate surface gloss. Data were analyzed using one- and two-way analysis of variance (ANOVA), independent t-test, and Tukey's and Scheffe's post hoc multiple comparison tests. RESULTS: The highest translucency value was observed for Reveal HD (7.688 ± 0.861) with a high curing intensity, while Filtek One showed the lowest value (1.750 ± 0.376) with a low curing intensity. The materials showed no significant difference in surface gloss with a high curing intensity. With low-intensity light curing, Filtek One showed the highest gloss value (55.270 ± 10.106), while Tetric N-Ceram and Reveal HD showed the lowest gloss values (35.560 ± 6.533 and 35.680 ± 6.648, respectively). CONCLUSION: Curing light intensity had no effect on both the gloss and translucency for all the materials tested, although for Tetric N-Ceram, higher intensity corresponded to higher gloss values while for Filtek One, higher intensity corresponded to a higher translucency value.

Color stability and degree of conversion of a novel dibenzoyl germanium derivative containing photo-polymerized resin luting cement.

AIM: To compare the color stability and degree of conversion (DC) of a resin cement containing a dibenzoyl germanium derivative photo-initiator (Variolink Esthetic) to resin cements containing conventional luting agents. MATERIALS AND METHOD: Spectrophotometry and Fourier transform infrared spectroscopy (FTIR) were used to compare the color stability and DC, respectively, of Variolink Esthetic compared to Calibra, Variolink-N, and NX3 resin cements. Ten specimens (1 × 2 mm2) of each resin cement were photo-polymerized and then subjected to color stability assessments. In addition, 30 samples of each of the four resin cements were prepared and then immersed in three staining solutions (tea, coffee, and distilled water) for two weeks. Changes in color for the immersed versus non-immersed specimens (control specimens) were determined by comparing ΔL (lightness), Δa, and Δb (color components), and an overall ΔE (color difference) obtained from spectrophotometry assays. One-way analysis of variance and a multiple comparison test (Tukey's test) were used to analyze color stability and DC data. NX3 and Variolink Esthetic resin cements exhibited significantly lower values compared to the dual cured resin cements (Variolink-N and Calibra). RESULTS: The highest DC values were observed among the photo-polymerized samples of Variolink Esthetic (87.18 ± 2.90%), while the lowest DC values were observed among the Variolink-N samples (44.55 ± 4.33%). CONCLUSION: The resin cement, Variolink Esthetic, containing a novel dibenzoyl germanium derivative photo-initiator exhibited superior color stability (p < 0.05) and a higher DC than other resin cements containing conventional luting agents in an in vitro setting.

Dentin Conditioning Using Different Laser Prototypes (Er,Cr:YSGG; Er:YAG) on Bond Assessment of Resin-modified Glass Ionomer Cement.

AIM: The aim of this study was to evaluate and compare various conditioning regimes (laser and conventional) on shear bond strength (SBS) of resin-modified glass ionomer cement (RMGIC) bonded to dentin. MATERIALS AND METHODS: Sixty non-carious intact maxillary molars were cleaned, isolated, and randomly divided into six groups (n = 10). Before randomization, the dentin surface was exposed and finished. Samples in group I were conditioned using Er,Cr:YSGG laser (ECYL). Specimens in group II were conditioned using Er:YAG laser (EYL), and the dentin surfaces of specimens in group III and group IV were conditioned using cavity conditioner and K930. Similarly, the samples in group V and group VI were surface treated using 17% EDTA and total etch. All samples were bonded with RMGIC following conditioning regime. For SBS testing, the samples were placed in universal testing machine. A fracture analysis of debonded surfaces was evaluated using stereomicroscope at 40× magnification. Means and standard deviations (SDs) were calculated using analysis of variance (ANOVA) and Tukey's post hoc test at a significant level of p < 0.05. RESULTS: The maximum bond strength values were observed in group VI total etch (23.85 ± 3.67). The lowest bond strength was displayed in laser dentin group II conditioned by EYL (11.65 ± 2.77). Dentin conditioned with ECYL, cavity conditioner, K930 conditioner, and 17% ethylenediaminetetraacetic acid (EDTA) were found to be comparable, p > 0.05. Cohesive failure was dominant among experimental groups. CONCLUSION: Er,Cr:YSGG laser has a potential to be recommended for dentin conditioning prior to application of RMGIC. CLINICAL SIGNIFICANCE: Dentin conditioning enhances adhesion of RMGIC for improved prognosis and treatment outcome.

Dentin bond strength of bioactive cement in comparison to conventional resin cement when photosensitized with Er,Cr:YSGG Laser.

OBJECTIVE: The purpose of the present study was to assess dentin shear bond strength (SBS) and mode of bond failure of bioactive cement (BA) in comparison to conventional resin cement when photosensitized by Er,Cr: YSGG Laser (ECL). METHODS: The present in-vitro study was carried out from March 2019 to May 2019. Sixty permanent non-carious, intact, non-fractured molars were isolated and mounted vertically in acrylic resin. Buccal surface of each molar tooth was ground, polished and surface treated with ECL. Ketac conditioner was applied on the surface washed and air dried surface. Tetric -N-Bond adhesive was applied on forty-five samples and light cured. The specimens were allocated into four groups (n=15) according to the type of cement used i.e., Calibra (C), BA, Variolink II (V) and Maxcem-Elite (ME). For SBS testing was performed using the universal testing machine. Eight samples from each group were assessed for modes of failure. Means and standard deviations were compared using analysis of variance (ANOVA) and Tukey's post hoc test at a significance level of p < 0.05. RESULTS: The highest mean SBS was observed in group ECL-C (21.55±3.08). The lowest mean SBS was displayed in group ECL-ME (14.25±3.55). Mean SBS values for group ECL-C (21.55±3.08) and group ECL-V (20.74±4.15) were comparable (p <0.05). Similarly, SBS values of group ECL-BA (15.48±3.62) and group ECL-ME (14.25±3.55) were comparable (p <0.05). CONCLUSION: Dentin surface conditioned with Er,Cr: YSGG and bonded to C and V cements exhibit favourable bond strength values.

Influence of Er,Cr:YSGG Laser Dentin Conditioning on the Bond Strength of Bioactive and Conventional Bulk-Fill Dental Restorative Material.

Objective: The aim of the study was to evaluate shear bond strength (SBS) and modes of failure for bioactive (BA) material when bonded to Er,Cr:YSGG lased dentin in comparison with other conditioning regimes. Materials and methods: One hundred twenty extracted teeth were mounted and allocated into eight groups (n = 15) according to the surface conditioning [group 1: Er,Cr:YSGG laser + BA; group 2: Er,Cr:YSGG laser + multi-core (MC); group 3: Er,Cr:YSGG + Ketac Conditioner (polyacrylic acid) + BA; group 4: Er,Cr:YSGG + Ketac Conditioner + MC; group 5: conventional etch and rinse + BA (Control); group 6: conventional etch and rinse + MC (Control); group 7: self-etch + BA; group 8: self-etch + MC]. Based on the type of bulk-fill material, samples from groups 1, 3, 5, and 7 were bonded to BA and groups 2, 4, 6, and 8 were bonded to conventional MC bulk-fill material. All specimens were tested for SBS using universal testing machine. Ten samples from each group were assessed for modes of failure. Data were assessed using analysis of variance and Tukey multiple comparisons test. Results: The maximum SBS value was in group 6 (18.96 ± 0.315) with etch and rinse dentin conditioning and bonded to MC. The minimum SBS value was exhibited by group 7 (16.04 ± 0.854) self-etch conditioning bonded to BA. SBS among group 6 specimens were significantly higher than that of specimens in group 7 (p < 0.05). Among all groups the most common type of observed failure was adhesive. Conclusions: Dentin surface treatment with Er,Cr:YSGG phototherapy for the adhesive bonding of BA and conventional bulk-fill resin composite MC showed comparable bond strength outcomes to conventional conditioning techniques. Er,Cr:YSGG laser dentin conditioning of dentin for bonding of bulk-fill BA materials has potential to be used clinically as it shows potential for adequate adhesive bond integrity.

Influence of photobio-modulation with an Er,Cr: YSGG laser on dentin adhesion bonded with bioactive and resin-modified glass ionomer cement.

METHODS: One hundred and twenty extracted human molars were allocated in eight groups (n = 15) based on surface conditioning and cement type. Specimens of groups 2 and 6 were conditioned with ECL whereas, groups 3 and 7 were treated with ECL + ethylenediamine tetra acetic acid (EDTA). Specimens in groups 4 and 8 were surface conditioned by ECL + EDTA + Tetric-N-Bond, and groups 1 and 5 were considered as control (non-surface treated). Cement build-ups were performed on the surface-treated dentin with BAC (groups 1-4) and RMGIC (groups 5-8). A universal testing machine was used to measure the SBS and the mode of failure was evaluated using a stereomicroscope. Statistical analysis was performed using an analysis of variance and Tukey's post hoc test, at a significance level of p < 0.001. RESULTS: The highest SBS values were observed in group 8, ECL + EDTA + Tetric-N-Bond + RMGIC (21.54 ± 3.524 MPa) and the lowest SBS values were displayed by group 1, with no surface treatment and BAC application (11.99 ± 0.821 MPa). The majority of failures were found to be mixed in lased dentin-treated dentin surfaces. BAC when bonded to dentin surfaces conditioned with ECL showed lower SBS in comparison to RMGIC. CONCLUSION: Conditioning of dentin with ECL and a bonding agent (Tetric-N-bond) improved bond strength scores for BAC and RMGIC. Use of EDTA improved bond strength values when bonded to BAC and RMGIC; however, this improvement was not statistically significant.

Adhesive bond integrity of dentin conditioned by photobiomodulation and bonded to bioactive restorative material.

AIM: The aim of this in-vitro study is to investigate the shear bond strength (SBS) of Bioactive bulk fill restorative material (BARM) (Activa) by surface pre-treatment using Er,Cr:YSGG (ECL) on dentin in comparison to conventional dentin conditioning techniques. MATERIAL AND METHODS: Sixty extracted non-carious, non-fractured, restoration free human molars were collected and mounted vertically in acrylic resin. The buccal surface of all molars were ground and polished with abrasive paper. The specimens were randomly allocated into four groups (n = 15) according to the type of surface treatment. Group 1 ECL + BARM, Group 2 ECL + Ketac + BARM, Group 3 Conventional Etch and Rinse + BARM, Group 4 Self-etch + BARM. The specimens from each group were positioned in a universal testing machine for SBS testing. Ten samples from each group were assessed for modes of failure. Means and standard deviations were compared using analysis of variance (ANOVA) and Tukey's post hoc test at a significance level of p < 0.05. RESULTS: BARM bonded to dentin surface etched with conventional etch and rinse technique (group 3) exhibited SBS value of 18.45 ±â€¯1.34. Similarly, the lowest bond strength was observed by group 4 (self-etch regime) bonded to BARM (16.09 ±â€¯0.81). The bond strength among groups 1 (ECL + BARM), 2 (ECL + Ketac + BARM) and 3 (etch and rinse + BARM) were found to be comparable (p > 0.05). CONCLUSION: Conditioning of dentin with photobiomodulation for the adhesive bonding of BARM showed comparable bond strength outcomes to conventional conditioning techniques.

Efficacy of phototherapy with different conventional surface treatments on adhesive quality of lithium disilicate ceramics.

AIM: The aim of the present study was to evaluate shear bond strength (SBS) of LDC and resin composite in combination with phototherapy and different ceramic surface treatments. MATERIALS AND METHOD: Forty Lithium Disilicate Glass Ceramic (LDC) disks measuring (4 × 4 x 9 mm) were fabricated. The specimens were randomly divided into four groups (n = 10 each) according to the surface treatment. Group 1 H F + Silane (Control); Group 2 HF + Ultrasonic bath + Silane; Group 3 SECP (Self etch ceramic primer) and Group 4 phototherapy (Er, Cr: YSGG) + Silane. On each ceramic disk a resin build-up was done. For SBS the specimens were subjected to increasing load with a transversal velocity of 1 ml/min on a universal testing machine on a ceramic resin interface. Failure mode was evaluated using digital microscope. The failure modes were divided into adhesive, cohesive and admixed interface. Data through bond strength testing was tabulated using statistical program for social science (SPSS). Means and standard deviations were compared using analysis of variance and Tukey's post hoc test (p < 0.05). RESULTS: The maximum and minimum bond strength was observed in group 2 [19.58(1.011)] and group 1 [17.14(1.122)] respectively. The bond strength among experimental group 1 [17.14 (1.122)] and group 4 [17.48(1.145)] were found to be comparable. Specimens in Group 2 displayed significantly higher bond strength among all experimental groups. Commonly adhesive failure mode was observed in the present study, with an incidence of 60%, 100% and 70% in groups 1,2 and 3 correspondingly. CONCLUSION: Phototherapy using laser at frequency 30 Hz and 4.5 W can be used as a surface conditioner for LDC alternate to HF acid. Conditioning of LDC using Self-etch ceramic primer showed better SBS outcomes as compared to phototherapy (Er, Cr: YSGG laser).

The effects of different irrigation solutions on the bond strength of cemented fiber posts.

OBJECTIVE: To study effect of root canal irrigant solutions on the bond strength of cemented fiber posts, and resin cement-tags in root canal dentin. MATERIALS AND METHODS: Fifty-two human single-rooted anterior teeth were selected and stored in 1% sodium azide. Crowns were sectioned 2 mm incisal to the cemento enamel junction with diamond bur at high speed under water-cooling. After standard root canal treatment to tested teeth, they were randomly assigned into four groups (n=13) corresponding to the endodontic irrigant solution that was used during post space preparation. The treatment groups were: Group 1: 6.15% sodium hypochlorite; Group 2: 17% EDTA; Group 3: 6.15% NaOCl +17% EDTA; Group 4: 6.15% NaOCl +0.12% chlorhexidine solution. Parallel-sided fiber posts were used for all specimens. Samples were embedded in a cylindrical PVC mounting jig to facilitate perpendicular sectioning. With low speed diamond saw, cervical and apical specimens from each tooth were obtained and subjected to push-out test using universal testing machine. SEM was used to examine the root-canal dentin surface. RESULTS: Statistical analysis revealed significant difference among the groups at P<0.05. Group 2 treated with EDTA, had the highest bond strength; 18.63±2.85 MPa in cervical specimens and 13.49±3.67 MPa in apical specimens. The cervical specimens of Groups 2 and 3 were significantly different than the apical specimens in the same group. Adhesive failure between cement and dentin was the main failure mode observed in all groups. Groups irrigated with EDTA showed cleaner dentin surface and better resin tag formation, while groups treated with NaOCl showed less resin tag formation and insufficient smear layer removal. CONCLUSION: NaOCl had adverse effect on bond strength of self-adhesive resin cement to radicular dentin. EDTA irrigant solution produced higher bond strength and was more effective in removing smear layer than NaOCl.

Comparison of clinical and radiographic peri-implant parameters among obese and non-obese patients: A 5-year study.

BACKGROUND: It is postulated that peri-implant parameters are worse in obese individuals as compared to nonobese. OBJECTIVE: The aim of the present 5-year longitudinal study was to analyze and compare the changes in clinical and radiographic peri-implant parameters among obese and non-obese patients. MATERIALS AND METHODS: Twenty patients with body mass index ≥ 27.5 kg/m2 and 18 non-obese controls were included. All patients were indicated for single tooth maxillary or mandibular molar replacement with the adjacent teeth intact. Peri-implant clinical (plaque index [PI], bleeding on probing [BOP], probing depth [PD]) and radiographic (marginal bone loss [MBL]) parameters were measured at 12, 24, and 60 months of follow-up. RESULTS: All peri-implant parameters showed statistically significant difference between obese and non-obese individuals. Obese group recorded significant higher BOP, PD, and MBL at different observation times. Probing depth and MBL increased significantly with advance of time in both groups. After 60 months of follow-up period, greater PI and BOP was observed in obese patients (P < 0.01). At 60 months follow-up period, obese patients showed significant increased PD (3.69 mm) as compared to non-obese individuals (2.46 mm). Marginal bone loss in non-obese individuals varied from 0.30 mm after 12 months, reaching 0.55 mm after 60 months of follow-up period, while in obese patients MBL values went from 0.36 mm after 12 months to 0.91 mm at 60 months follow-up (P < 0.01). CONCLUSIONS: Patients with obesity are at risk of increased localized peri-implant soft and hard tissue inflammation. It is recommended that clinicians should educate obese patients about risk of increased peri-implant tissue inflammation and susceptibility to bone loss and stipulate stringent oral hygiene care for ideal peri-implant health.