Comparing Shear Bond Strength Between Pink Opaquer and Other Tooth-Colored Restorative Materials on Demineralized Dentin Treated with Silver Diammine Fluoride.

Purpose: The purposes of this study were to evaluate the effect of silver diammine fluoride (SDF) on the shear bond strength (SBS) of pink opaquer (PO) compared to resin-modified glass ionomer (RMGI) and conventional composite (COMP) on demineralized dentin, and also to investigate the mode of failure (MOF). Methods: Sixty extracted third molars were prepared, demineralized for 14 days, and divided into four groups: (1) COMP; (2) SDF+PO; (3) SDF+RMGI; and (4) SDF+COMP (restoration size: two by two mm). SBS, MOF, modified adhesive remnant index (MARI), and remnant adhesive volume (RAV) were evaluated using an Instron® machine, light microscopy, 3D digital scanner ( 3Shape©), and GeoMagic Wrap© software. Results: There was no significant difference in SBS (MPa) among the COMP mean??standard deviation (2.5±1.59), SDF+COMP (2.28±1.05), SDF+PO (3.31±2.63), and SDF+RMGI groups (3.74±2.34). There was no significant difference in MOF and MARI among the four groups (P>0.05). There was no significant difference in RAV (mm3) among the COMP (0.5±0.33), SDF+COMP (0.39±0.44), SDF+PO (0.42±0.38), and SDF+RMGI groups (0.42±0.38; P>0.05). A significant correlation existed between MOF and RAV (R equals 0.721; P<0.001). MOF, MARI, and RAV did not show any correlations with SBS (P>0.05). Conclusions: Silver diammine fluoride does not affect shear bond strength between carious dentinal surface and tooth color restorative materials. The amount of material left on the interface is not related to the amount of shear force needed to break the restoration.

Comparison of the Masking Ability and Translucency of Different Tooth-Colored Restorative Materials.

PURPOSE: The purpose of this study was to evaluate the masking of simulated silver diamine fluoride (SDF) carious tooth discoloration using tooth-colored restorative materials. METHODS: Eighty disc specimens (N equals 10 disc specimens per group) were prepared using pink opaquer (PO), pink opaquer with composite resin (DUAL), opaque-shade composite resin (OSC), and resin-modified glass ionomer (RMGI) of one-mm and two-mm thicknesses. Three backgrounds were prepared: white, dark dentin shade (C4D), and black tile. Vita Easyshade® spectrophotometer was used to determine the color values of each disc specimen against each background. Color difference (E) and translucency parameter (TP) were analyzed. RESULTS: There was a significant difference in material masking black background (one-way analysis of variance; P<0.001) in the following order: PO (TP 5.47) and DUAL (TP 3.89) are similar in masking ability but much higher than RMGI (TP 11.03) and OSC (TP 17.81). For masking the dark background, the result was similar. The material thickness makes a significant difference in color masking, with two mm superior to one mm for all four tooth-colored materials (multivariate analysis of variance; P<0.001). Both PO and DUAL two mm were clinically acceptable in masking dark and black backgrounds (E less than 2.7). CONCLUSION: Pink opaquer and pink opaquer with composite resin restorative materials were found to be the best masking materials for simulated silver diamine fluoride-arrested carious lesions.

Obturator fabrication incorporating computer-aided design and 3-dimensional printing technology: A clinical report.

This article reports an approach to fabricating a maxillary obturator using the computer-aided design and computer-aided manufacturing (CAD-CAM) process. The maxillary definitive cast and the trial tooth arrangement were separately scanned and superimposed. The virtual cast created from the scan data was surveyed, and the framework was designed using specific software. The definitive cobalt-chromium framework was fabricated by using 3-dimensional (3D) selective laser sintering (SLS) technology. After framework trial placement, the definitive obturator prosthesis was processed using conventional heat-polymerizing resin with the lost-wax processing technique. Using CAD technology and 3D metal printing resulted in improved fit, function, and esthetics for the definitive obturator prosthesis.