The application of magnetic resonance microimaging to the visible light curing of dental resins. 3. Stray-field nuclear magnetic resonance imaging (STRAFI).

OBJECTIVE: To investigate the application of stray-field nuclear magnetic resonance imaging (STRAFI) to the visible light curing of dental restorative materials. STRAFI can overcome peak broadening associated with the conventional magnetic resonance microimaging (MRM) of glassy polymers, and has the potential to image dental restorative resins at both low and high degrees of conversion. METHODS: Cylindrical composite specimens were light-cured from one end to produce some that were fully cured throughout their length and others that were fully cured at one end and uncured at the other. A one-dimensional probe was used to measure the magnetisation in 40 microm thick slices at 100 microm intervals along the length of the specimen. A quadrature pulse sequence was applied and the magnetisation decay recorded in a train of eight echoes. RESULTS: A value for T(2) could be obtained only for the polymer (59+/-16 microms), therefore the echoes were summed to give an approximate indication of the degree of conversion. The echo sum for the monomer was significantly higher than that for the polymer. Differences in composite shade and cure time produced changes in the cure profiles. SIGNIFICANCE: STRAFI produced measurements for both monomer and polymer in all stages of conversion that allowed cure profiles to be produced. Summing the decay echoes produced a qualitative measure of the condition of the material in the selected slice. The same data can be used to calculate T(2), a quantitative parameter. This first investigation has demonstrated that STRAFI is well suited to polymerisation studies.

The application of magnetic resonance microimaging to the visible light curing of dental resins. Part 2. Dynamic imaging by the FLASH-MOVIE pulse sequence.

OBJECTIVES: To investigate the application of a rapid NMR imaging pulse sequence, FLASH-MOVIE, to the visible light curing of dental restorative materials. METHODS: The light guide was applied at one end of a cylindrical specimen of visible light curing unfilled resin and the light directed along the cylinder. During polymerisation an NMR imaging pulse sequence, FLASH-MOVIE, was run at 15s intervals with a 50 ms repetition time. The image of a 1mm thick vertical slice was recorded with a (125 microm)2 pixel size. RESULTS: Images with good contrast were obtained from all resin monomers. The image intensity from the polymer was indistinguishable from the background intensity. Thus, the progress of light activated polymerisation in the material could be followed in real time through a series of up to 16 images. Initially the image intensity increased in the material closest to the light guide, then decreased over time to zero. Concomitant with this fall, a "cure-front" moved through the specimen. SIGNIFICANCE: The FLASH-MOVIE NMR pulse sequence applied to microimaging of dental diacrylate resins can be used to obtain a dynamic record of visible light curing. A more refined experimental protocol will be required to apply this unique data to models proposed for this polymerisation mechanism.

Application of magnetic resonance microimaging to the study of dental caries.

Magnetic resonance microimaging (MRM) of teeth has continued to be developed. Two ways in which data can be presented have been investigated, 112-microm-thick image slices and pseudo-three-dimensional surface rendered images. Limitations of the latter have been demonstrated; the possible absence of structures having low intensity or incompleteness of the image at regions from which the signal intensity is low. This has implications for the MRM investigation of dental caries. However, all intensities are recorded and are available. Structures which give a low-intensity signal can be seen in image slices. MRM appears well suited to studying the development of dental caries, ideally in combination with other techniques. As MRM is non-destructive and non-invasive, it can be used in experiments which follow the progress of the disease, yet leaves the tissue intact for other investigations.

Measurement at low strain rates of the elastic properties of dental polymeric materials.

OBJECTIVE: To evaluate a simple static test (i.e. a slow strain rate test) designed to measure Young's modulus and the bulk modulus of polymeric materials (The NOL Test). Though it is a 'mature' test as yet it has never been applied to dental materials. METHODS: A small cylindrical specimen is contained in a close-fitting steel constraining ring and compressive force applied to the ends by steel pistons. The initial (unconstrained) deformation is controlled by Young's modulus. Lateral spreading leads to constraint from the ring and subsequent deformation is controlled by the bulk modulus. A range of dental materials and reference polymers were selected and both moduli measured. From these data Poisson's ratios were calculated. RESULTS: The test proved be a simple reliable method for obtaining values for these properties. For composite the value of Young's modulus was lower, bulk modulus relatively similar and Poisson's ratio higher than that obtained from high strain rate techniques (as expected for a strain rate sensitive material). SIGNIFICANCE: This test does fulfil a requirement for a simple test to define fully the elastic properties of dental polymeric materials. Measurements are made at the strain rates used in conventional static tests and values reflect this test condition. The higher values obtained for Poisson's ratio at this slow strain rate has implications for FEA, in that analysis is concerned with static or slow rate loading situations.

Dental materials: 1997 literature review.

This review of the published literature on dental materials for the year 1997 has been compiled by the Dental Materials Panel of UK. It continues a series of annual reviews started in 1973. Emphasis has been placed upon publications, which report upon the materials science or clinical performance of the materials. The review has been divided by accepted materials classifications (fissure sealants, glass polyalkenoate cements, dentine bonding, dental amalgam, endodontic materials, casting alloys, ceramometallic restorations and resin-bonded bridges, ceramics, denture base resins and soft lining materials, impression materials, dental implant materials, orthodontic materials, biomechanics and image processing, resin composites, and casting investment materials and waxes). Three hundred and thirty three articles have been reviewed.

Solid state spatially resolved 1H and 19F nuclear magnetic resonance spectroscopy of dental materials by stray-field imaging.

As part of a program to evaluate the use of stray-field magnetic resonance microimaging (STRAFI) in dental materials research spatially resolved nuclear magnetic resonance (NMR) for solid dental cements has been investigated. By applying a quadrature echo pulse sequence to a specimen positioned in the stray-field of a NMR spectrometer superconducting magnet the magnetic resonance within a thin slice was obtained. The specimen was stepped through the field in 500 microm increments to record 1H and 19F profiles and T2 values at each point. The specimens were fully cured cylinders made from four types of restorative material (glass ionomer, resin modified glass ionomer, compomer, composite). The values for 1H T2 varied with material type and reflected the nature of the matrix structure. For all materials containing 19F in the glass two values were calculated for 19F T2, one short and one long. These were relatively invariant. Solid state magic angle spinning (MAS)-NMR showed that they came from the glass. This suggests that a proportion of the element is relatively mobile (in a glass phase) and the remainder is more tightly bound (in a compound dispersed in the glass). This demonstration, that NMR microimaging of both 1H and 19F in solid dental cements is possible, opens up exciting new possibilities for investigating the distribution of these elements (in particular fluorine) in solid dental materials.

Dental materials: 1996 literature review. Part 2.

This critical review of the published literature on dental materials for the year 1996 has been compiled by the Dental Materials Panel of the UK. It continues the series of annual reviews started in 1973 and published in the Journal of Dentistry. Emphasis has been placed upon publications which report upon the materials science or clinical performance of the materials. The review has been divided by accepted materials classifications (fissure sealants, glass polyalkenoate cements, dentine bonding, dental amalgam, endodontic materials, casting alloys, resin-bonded bridges and ceramo-metallic restorations, ceramics, denture base resins and soft lining materials, impression materials, implants materials, orthodontic materials, biomechanics and image processing, resin composites and casting investment materials and waxes). Three hundred and thirteen articles have been reviewed.

Dental materials: 1996 literature review.

This critical review of the published literature on dental materials for the year 1996 has been compiled by the Dental Materials Panel of the UK. It continues the series of annual reviews started in 1973 and published in the Journal of Dentistry. Emphasis has been placed upon publications which report upon the materials science or clinical performance of the materials. The review has been divided by accepted materials classifications (fissure sealants, glass polyalkenoate cements, dentine bonding, dental amalgam, endodontic materials, casting alloys, resin-bonded bridges and ceramo-metallic restorations, ceramics, denture base resins and soft lining materials, impression materials, implants materials, orthodontic materials, biomechanics and image processing, resin composites and casting investment materials and waxes). Three hundred and thirteen articles have been reviewed.

Dental materials: 1995 literature review.

This critical review of the published literature on dental materials for the year 1995 has been compiled by the Dental Materials Panel of the United Kingdom. It continues the series of annual reviews started in 1973 and published in the Journal of Dentistry. Emphasis has been placed upon publications which report upon the materials science or clinical performance of the materials. The review has been divided by accepted materials classifications (fissure sealants, glass polyalkenoate cements, resin composites, dentine bonding, dental amalgam, endodontic materials, casting alloys, investment materials, resin-bonded bridges and ceramo-metallic restorations, all ceramic restorations, denture base and soft lining materials, impression materials, dental implants, orthodontic materials and biomechanics). Three hundred and thirty articles published in 68 titles have been reviewed.

Magnetic resonance microimaging of carious teeth.

Three-dimensional (proton) magnetic resonance microimages of a number of extracted teeth (both healthy and carious) were obtained using a Bruker AM300WB magnetic resonance spectrometer fitted with a Bruker microimaging attachment. Full data sets have been acquired as 90-micron 3 voxels to enable high-quality full-surface (external and internal) reconstructions to be computed. Possession of such data has allowed mapping of the complete range of intensities in any selected image slice. The application of artificial color was found to aid the interpretation of both image types. All teeth showed the expected dental morphologies. The carious regions of the diseased teeth gave an intense image that was readily distinguishable from the other soft tissue.

The effect of a light-cured periodontal dressing material on HeLa cells and fibroblasts in vitro.

The effect which a visible light-curing periodontal dressing material based upon a urethane dimethacrylate resin has upon HeLa cells and fibroblasts in its uncured and fully cured states has been studied in vitro. Fully-cured material has no effect on either cell type. Uncured material produces a surrounding zone of growth inhibition and cell death on direct contact. Inhibition is caused by the release into the medium of substances toxic to cells. However, this growth inhibition is overcome in time (5 days). It is suggested that partly-cured material containing residual free monomer in contact with a healing gingival site could impede rapid repair. Nuclear magnetic resonance microimaging has shown that in places where there is a greater depth of material (e.g., interproximal regions) this underlying material may be partly cured. Increasing the exposure to the curing light will prevent (or minimize) the presence of partly-cured material; the fully-cured material being compatible with the cells.

Determination of the depth of cure for VLC composites by nuclear magnetic resonance microimaging.

OBJECTIVES: The purpose of this study was to evaluate the potential of nuclear magnetic resonance microimaging (NMRM) for investigating the depth of cure for visible light curing of dental composite materials. METHODS: Cylindrical composite specimens were light-cured within the NMRM instrument for predetermined times. Vertical slice, mid-resolution, spin-echo images were acquired using a Bruker AM300WB instrument with a Bruker microimaging attachment. Images were digitized and intensity profiles generated using deuterium oxide/water as a reference intensity. Separate specimens were made to obtain Vickers microhardness values as a function of depth to compare an established method for determining depth of cure with NMRM. RESULTS: A difference in NMR image intensity between uncured and cured composite resin has been detected. Values for integrated intensities were obtained at 150 microns intervals over the mid-fifth of the total image width. An abrupt transition was not seen at the cure front which advances with cumulative exposure time. NMRM produced similar data trends to microhardness measurement. SIGNIFICANCE: NMRM produces three-dimensional images of "mobile" hydrogen nuclei to a resolution of 10(-5) mm3. It is non-invasive, non-destructive and able to selectively image protons in different chemical environments. It can be used to investigate depth of cure for light curing materials, but must be regarded as a research technique and not one for routine measurement. Refinement is necessary, possible, and in progress to improve resolution from the present 10(-2) mm3 towards the limit, and to reduce noise.