Evaluation of a reproduction technique for the study of the enamel composite/bracket base area.
(41/993)
The objective of the study was to evaluate a reproduction method that would enable the study of the enamel/ bracket/composite interface in vivo, and consisted of in vitro assessment of two different impression materials to compare reproduction of brackets bonded to extracted teeth followed by in vivo assessment of the superior material. In vitro standard edgewise brackets were bonded to two extracted teeth and impressions were taken using two different types of low viscosity silicone-based impression materials. A medium viscosity silicone impression material was used to support the original impression. Three impressions of both the gingival and occlusal aspect of the bracket base region were obtained using each of the impression materials. Replicas were then prepared for SEM viewing and these compared to SEMs of the real teeth for reproduction of detail. A 3-point Reproducibility Index was used to compare the SEM photographs of the comparable replicas. One impression material was clearly superior to the other and produced an acceptably accurate representation of the true clinical situation in three out of four samples. This material also performed well in the in vivo situation. The technique described is satisfactory for the production and analysis of SEM pictures of the enamel/composite/ bracket base interface in vivo. (+info)
The effect of early static loading on the in vitro shear/peel bond strength of a 'no-mix' orthodontic adhesive.
(42/993)
This study addressed the question of whether shear and tensile loads applied 15 minutes after bonding metal brackets to enamel affected the shear/peel bond strength of the adhesive. Ninety standard 0.022-inch stainless steel edgewise premolar mesh-backed brackets were bonded using a no-mix chemical-cured adhesive to 90 teeth, which had been prepared in a standardized manner. After 15 minutes three groups of 30 teeth were subjected to the following regimes: no applied load, tensile static load of 0.77 N (78 g), and shear static load of 0.77 N. After 14 days storage in 100 per cent relative humidity at 37 degrees C, the shear/peel strength of the adhesive bond was measured using a purpose built jig mounted on a universal testing machine. Shear/peel bond strengths were analysed using Weibull statistics. The Weibull moduli of the three groups indicated that the adhesive performed consistently despite early static loading. Characteristic strengths were 9.22, 9.27, and 9.05 MPa for the control, tensile, and shear groups, respectively. The findings indicate that static loads (such as tying in of archwires) can be placed on brackets 15 minutes after cementation, without a clinically significant reduction in bond strength of the tested adhesive. (+info)
Evidence for bacterial causation of adverse pulpal responses in resin-based dental restorations.
(43/993)
The widespread use of resin and resin-monomers for bonding of dental restorations to dentin has occurred because of a fundamental shift in the view that injury to the pulp is induced by restorative procedures. While, for many years, the toxic effects of restorative materials were thought to be of crucial importance in the development of adverse pulpal responses, the key role of bacterial leakage at the restoration-tooth interface is now well-recognized. Consequently, if optimal conditions for the preservation of pulpal health are to be ensured, dental restorations should provide an impervious seal against the surrounding tooth structure. However, polymerization shrinkage and contraction stresses induced during setting, as well as a variety of technical difficulties encountered during the clinical operation, often produce less than perfect results. Therefore, modern restorative procedures involving resin and resin-bonded restoratives must still rely on the ability of the pulp to cope with the injurious elements to which it may be exposed during and after the procedure. This review examines factors that may govern the pulp's response to restorative procedures that involve adhesive technologies. An assessment is made of the risks involved as far as the continued vital function of the pulp is concerned. It is concluded that an intact, although thin, wall of primary dentin often enables the pulp to overcome both toxic material effects and the influences of bacterial leakage. In contrast, the pulp may not do equally well following capping of open exposures with resin composites. A dearth of controlled clinical studies in this area of dentistry calls for confirmation that pulpal health prevails over the long term following the use of total-etch and resin-bonding techniques. (+info)
Effect of Er:YAG laser irradiation on acid resistance to bovine dentin in vitro.
(44/993)
Resin bond strength to Er:YAG laser irradiated dentin has been reported to be lower than that of unlased dentin. The reasons have been much discussed, but not clarified. One hypothetical cause has been discussed that lased dentin is acid resistant, therefore, the etching effect of acid conditions decreases. The purpose of this study was to evaluate the acid resistance of laser-irradiated dentin and compare it with the dissolved mineral of Er:YAG laser irradiated dentin and unlased dentin. This experiment was a pilot study to assess the etching effect of pre-conditioner for resin bonding to lased dentin. Bovine dentin was irradiated by Er:YAG laser and immersed in 0.1 M lactic buffer solution (pH 4.0). The dissolved Ca and P in the solution were then both measured. Dissolved Ca from lased dentin was not significantly different from that coming from unlased dentin (p > 0.05). The molar ratio of Ca/P did not differ significantly between lased and unlased dentin, either (p > 0.05). Under FE-SEM view before immersion, the dentin surface was covered with a smear layer in unlased dentin, but this layer was not clearly observed in lased dentin. These results suggested that the lased dentin had little or no resistance to lactic buffer solution. (+info)
Tensile bond strength of a light-cured glass ionomer cement when used for bracket bonding under different conditions: an in vitro study.
(45/993)
The purpose of this study was to investigate the tensile bond strength of a new light-cured resin reinforced glass ionomer cement (Fuji Ortho LC), following the bonding of stainless steel brackets to 40 extracted human premolar teeth under four different enamel surface conditions: (1) non-etched, moistened with water; (2) etched, moistened with water; (3) etched, moistened with human saliva; and (4) etched, moistened with human plasma. The etched surface produced a higher bond strength than the non-etched surface when contaminated with distilled water. Contamination with human saliva resulted in a further increase in bond strength whilst plasma contamination produced an even higher strength. However, one-way analysis of variance showed no statistically significant difference between the various groups. After debonding, enamel and bracket base surfaces were examined for residual adhesive. The location of the adhesive also indicated improved bonding to etched enamel. This investigation shows that regardless of enamel surface pretreatment or environment, Fuji Ortho LC provides an adequate strength for bonding of orthodontic brackets. (+info)
WDX study of resin-dentin interface on wet vs. dry dentin.
(46/993)
The purpose of the present study was to determine the resin-dentin Interface conditions in Wet vs. Dry Dentin. Dentin disks were prepared from extracted human premolars. Sectioned dentin surfaces were used for SEM studies of wet vs. dried acid-etched dentin. These specimens were cut perpendicular to the surface into two equal halves. One-half of the sectioned specimen was observed by SEM in three treatment groups and the other half was observed for micromorphological differences in the resin-dentin interface using Wavelength Dispersive X-ray Spectrometer (WDX). SEM photomicrographs of the dentin surface showed the collapse of collagen fibrils in the demineralized layer and enlargement of the tubule orifices. A collagen rich layer approximately 8-10 microns thick (WDX) was observed at the resin-dentin interface when treated with the conventional dry-bonding technique. Dentin surfaces treated by the wet-bonding technique (SB), as observed by SEM, showed an uncollapsed collagen layer, while the collagen-rich layer was approximately 1-2 microns thick (WDX). The present findings suggest that moist bonding is required for optimum infiltration of adhesive resin into the demineralized layer. (+info)
Addition of antibacterial agents to MMA-TBB dentin bonding systems--influence on tensile bond strength and antibacterial effect.
(47/993)
To produce a bonding system which has both high bond strength and antibacterial properties, an antibacterial agent (vancomycin: VCM or metronidazol: MN) was added to the PMMA powder of 4-META/MMA-TBB resin (CB). The influence of the addition of an antibacterial agent on tensile bond strength to dentin and the antibacterial effect were investigated in this study. Forty-seven freshly extracted bovine first or second incisors were used to measure the tensile bond strength to dentin. The bond strengths to bovine dentin were not significantly decreased by addition of VCM (1%, 2%, 5%), or MN (1%) to CB (p < 0.05). The antibacterial effect of CB containing antibacterial agent on six strains of bacteria was investigated by the agar plate diffusion method, analyzing the appearance of the inhibition zone around a resin disk following anaerobic culturing. The resin disks containing VCM showed antibacterial effects on all of the strains examined; the widths of the inhibition zones were 4-15 mm. The resin disks containing MN showed antibacterial effects on three strains; the widths of the inhibition zones were 0-4 mm. It was thus possible to produce a bonding system with both antibacterial effect and high tensile bond strength by addition of VCM to PMMA powder. (+info)
Effect of the adhesive layer thickness on the fracture toughness of dental adhesive resins.
(48/993)
We investigated how the thickness of an adhesive layer between two Co-Cr alloy plates affected the mode I fracture toughness of dental adhesive resin by varying the type of resin using a double cantilever beam (DCB) test. Two typical adhesive resins (PV and SB) were used. The adhesive layers of the DCB test specimens were 20, 100 and 200 microns thick. The fracture modes of PV differed with the thickness of the adhesive layer, such as interface fracture at 20 microns thickness, and similar cohesive fracture at 100 and 200 microns thickness. In the case of SB, crack-propagating areas were observed as cohesive fractures in all test specimens with different adhesive layer thickness, and the surfaces of these areas became remarkably rougher as the thickness of the adhesive layer increased. The fracture toughness of PV was not affected by the differences in thickness between the 100 and 200 microns adhesive layers, but there was a notable decrease in fracture toughness when the adhesive layer decreased to a thickness of 20 microns. That of SB showed a tendency to increase as the adhesive layer became thicker. (+info)