Effect of Various Toothpaste Tablets on Gloss and Surface Roughness of Resin-based Composite Materials.

OBJECTIVES: To evaluate the effect of various toothpaste tablets on gloss and surface roughness of resin-based composite. METHODS AND MATERIALS: Sixty-four resin-based composite specimens were divided into four groups of 16 specimens each. Gloss and roughness were measured before and after simulated brushing with three types of toothpaste tablets and one conventional toothpaste: CT: Chewtab Toothpaste Tablets; AT: Anticavity Toothpaste Tablets; HC: Charcoal Toothpaste Tablets; CP: Cavity Protection toothpaste. The Kruskal-- Wallis procedure was performed to compare the differences by groups. Post-hoc comparisons were conducted with Bonferroni corrections (α=0.05). RESULTS: There was a significant drop in gloss for all groups. CT and AT maintained the highest gloss with means of 81.6 GU and 74.1 GU, respectively. The lowest gloss of 24.5 GU was observed for HC. There was a significant increase in roughness for all groups except for CT. CT had the lowest roughness with a mean of 0.034 µm, while HC had the highest roughness with a mean of 0.074 µm. There was a significant correlation between post-brushing gloss and post-brushing roughness (p<0.001, r=-0.884). CONCLUSION: Chewtab Toothpaste Tablets had the least effect on gloss and roughness, while Charcoal Toothpaste Tablets had the most negative effect on the surface properties of resin-based composites.

Tooth Color Change and Erosion: Hydrogen Peroxide Versus Non-peroxide Whitening Strips.

AIM: The study evaluated the efficacy and potential erosion of non-peroxide strips compared to hydrogen peroxide (HP) whitening strips (WSs). METHODS: Color evaluation samples (N=64) were distributed into four groups and treated according to manufacturer's directions. NC: Negative control treated with water; BT: Non-peroxide Brilliant Dissolving Strips; FM: Non-peroxide Fancymay Teeth WSs; WS: Crest 3D Brilliance HP White Strips. A contact-type spectrophotometer was used to measure color at baseline (T1), 1-day posttreatment (T2), and 1-week posttreatment (T3). Teeth were cut to a rectangular block for micro-CT erosion assessment. The samples (N=30) were divided into five groups. In addition to the four groups for color assessment, a positive control (PC) treated with 0.25% citric acid was added. The samples were scanned, reconstructed, and measured for erosion depth using a micro-CT analysis program software. Kruskal-Wallis test was used to determine differences in color change and erosion depth among the groups. Tests of hypotheses were two-sided with an alpha level of 0.05. RESULTS: The mean ΔE*ab at 1-day/1-week posttreatment were 2.4/2.5, 2.8/2.9, 2.8/3.2, and 8.6/11.0 for NC, BT, FM, and WS, respectively. There was a statistically significant difference for ΔE*ab at 1-day and 1-week posttreatment (p<0.001). Group WS had the highest color change, while the other three groups did not differ from each other (p>0.05). Mean erosion depths in microns were 0.52, 0.58, 0.42, 0.49, and 29.55 for NC, BT, FM, WS, and PC, respectively. There was a statistically significant difference among the groups (p=0.004). Group PC had the greatest erosion, while the other groups had negligible erosion that did not differ from each other (p>0.05). CONCLUSION: Peroxide WSs had superior whitening efficacy compared to non-peroxide strips. None of the tested products compromised tooth structure integrity through enamel erosion.

Effect of Bleaching Gel Viscosity on Tooth Whitening Efficacy and Pulp Chamber Penetration: An In Vitro Study.

OBJECTIVES: Whitening efficacy has been related to hydrogen peroxide (HP) diffusion into tooth structure. However, little information is available relating rheological properties to whitening efficacy. The purpose was to evaluate the whitening efficacy and HP penetration level of a 10% HP gel at three different viscosities and to compare them to a strip delivery system. METHODS AND MATERIALS: Extracted molars (n=120) were randomly assigned into five groups (n=24/ group): NC_MED (negative control; median): medium viscosity gel without HP; LOW: 10% HP gel (low viscosity experimental gel, Ultradent Products Inc); MED: 10% HP gel (medium viscosity experimental gel, Ultradent); HIGH: 10% HP gel (high viscosity gel, Ultradent); and CWS: Crest 3D Whitestrips 1-Hour Express (Procter & Gamble). All teeth were subjected to five 60-minute whitening sessions. Instrumental color measurements were performed at baseline (T0), and 1-day after each application (T1-T5), and 1-month after whitening (T6). HP penetration was estimated with leucocrystal violet and horseradish peroxidase. A Kruskal-Wallis test and post hoc Bonferroni test were performed to assess the difference in tooth color change and HP penetration among the groups (α=0.05). RESULTS: Hydrogen peroxide penetration levels and overall color changes at T6 were 0.24 µg/mL / 2.80; 0.48 µg/mL / 8.48; 0.44 µg/mL / 7.72; 0.35 µg/mL / 8.49; 0.36 µg/mL / 7.30 for groups NC, LOW, MED, HIGH, and CWS, respectively. There was a significant difference for HP penetration, while there was no significant difference among the four experimental groups for tooth color change. CONCLUSION: Rheological properties should be considered when developing new whitening formulations.

Efficacy of do-it-yourself whitening as compared to conventional tooth whitening modalities: an in vitro study.

AIM: To evaluate the efficacy of do-it-yourself (DIY) whitening as compared to conventional tooth whitening modalities using different shade assessment tools. METHODS AND MATERIALS: Extracted human molars (120) were randomly distributed to six groups (n=20). Whitening was performed according to manufacturer's directions for over-the-counter, dentist-dispensed for home use, and in-office whitening. DIY whitening consisted of a strawberry and baking soda mix. Additionally, negative and positive controls were used. Two evaluators used the Vita Classical (VC) and Vita Bleachedguide 3D-Master with interpolated numbers (BGi) for visual assessment at baseline and one-week, one-month, and three-month postwhitening. Instrumental measurements were performed with a spectrophotometer. Kruskal-Wallis procedure was used to assess color changes among groups and intraclass correlation (ICC) to evaluate agreement between evaluators. RESULTS: DIY exhibited lower color change (ΔSGUVC, ΔSGUBGi, ΔE*, where SGU = shade guide unit and E = overall color change) compared to other whitening groups at all time points (p<0.05). ICC demonstrated very good agreement between evaluators with VC and BGi at each time point. Both shade guides were related with each other and strongly related to instrumental measurements (p<0.05). CONCLUSIONS: DIY whitening was the least effective whitening modality. Both VC and BGi are related with each other and have good correlation with instrumental measurements.

Influence of application techniques on contact formation and voids in anterior resin composite restorations.

This study evaluated the influence of three different application techniques on contact formation and voids in anterior resin composite restorations. Artificial ivorine teeth were randomly assigned to three experimental groups, with 20 specimens in each group. One operator performed all restorations using the Teflon tape, pull-through, or bioclear matrix technique. The treatment time required for each restoration was recorded. An examiner blinded to the treatment group performed the visual evaluation of six criteria, including proper contact formation. The restored teeth were cut to yield a total of 180 sections for microscopic evaluation. The Kruskal-Wallis procedure was performed to evaluate the significance of treatment time, number of voids, percent porosity area, and void diameter. There were significant differences in treatment time among the three groups (p<0.05). The bioclear matrix technique required the least time for the treatment of one diastema closure (p<0.05). The Teflon tape technique resulted in proper contact formation in 80% of specimens, a rate that was significantly lower than that associated with the pull-through and bioclear matrix techniques (p<0.05). Out of 540 imaging areas 160 images were free of voids. The number of voids and the percent porosity area were not significantly different among the three techniques (p>0.05). However, the mean void diameter was greater with the bioclear matrix technique compared to the other two techniques (p<0.05).

The role of alpha1 (connexin-43) gap junction expression in adrenal cortical cell function.

To investigate the relationship between adrenal cell function and gap junction expression, a bovine adrenal cell line (SBAC) was studied. Western blot and immunocytochemical techniques were used to demonstrate gap junction expression in SBAC cell populations. Cells expressed alpha1 (connexin 43) gap junction protein at points of cell-to-cell contact. Gap junction number and size increased in populations treated with ACTH (40 mU/ml) or dibutyryl cAMP (DbcAMP, 1.0 mM). Treatment with either ACTH or DbcAMP increased steroid production and cAMP levels. SBAC cell number, however, decreased in ACTH- or DbcAMP-treated populations. The number of cells increased in cultures transfected with alpha1-antisense complementary DNA. Neither ACTH nor DbcAMP treatment decreased cell number or increased steroidogenesis in alpha1-antisense complementary DNA-transfected cell populations. However, cell populations in which gap junctions were inhibited retained the capacity to increase cAMP production in response to ACTH (40 mU/ml) treatment. Hormone-stimulated gapjunction expression and cell communication may represent an important factor in adrenal gland function and control of proliferation.

Characterization of gap junction expression in the adrenal gland.

To characterize the presence of gap junctions in adrenal tissue we used immunohistochemical analysis of connexin expression in whole adrenal glands and in primary rat adrenal cortical cell cultures. alpha 1 (connexin 43) gap junction protein was demonstrated in rat adrenal glands and in primary adrenal cell cultures. The alpha 1 gap junction proteins were present in different amounts such that little or no alpha 1 antigen was detected in the zona glomerulosa (ZG), while cells of the zona fasciculata (ZF) and zona reticularis (ZR) stained intensely. There was an inverse relationship between cell division rate and gap junction number in the intact adrenal gland. We placed the cells from the most intensely staining areas (ZF/ZR) of the rat adrenal cortex into culture. These primary adrenal cells expressed alpha 1 gap junction antigen on their cell surfaces in regions of cell-cell contact. ACTH (40mU/ml) treatment resulted in an increase in gap junction expression relative to controls in primary rat adrenal cultures. These results indicate that the abundance of gap junction expression is differential in the cortical zones and can be modulated by hormonal stimulation. These observations are also thought to reflect morphological and functional differences in adrenal cortical zones.