Influence of the remaining coronal structure on the resistance of teeth with intraradicular retainer.
The aim of this study was to compare the resistance of endodontically treated teeth with intraradicular retainer different amounts of remaining coronal structure. Fifty freshly extracted maxillary canines were endodontically treated and randomly assigned to five groups (n=10), as follows: group 1 (control) = teeth with custom cast post and core; group 2 = teeth without remaining coronal structure; group 3, 4 and 5 = teeth with 1 mm, 2 mm and 3 mm of remaining coronal structure, respectively. All specimens in groups 2 to 5 were restored with prefabricated post and resin core. The teeth were embedded in acrylic resin and the fracture strength was measured on a universal testing machine at 45 degrees to the long axis of the tooth until failure. Data were analyzed statistically by one-way analysis of variance and Tukey's test. There was no significant differences (p>0.05) between the control group and group 2, and between groups 3, 4 and 5 (p>0.05). Control group and group 2 had significantly higher resistance strength than groups 3, 4 and 5 (p<0.00001). The findings of this study showed that teeth without remaining coronal structure had significantly higher fracture strength than those with remaining coronal structure (1 mm, 2 mm and 3 mm). When the dental crown was not completely removed, the amount of remaining coronal dentin did not significantly affect the fracture strength of endodontically treated teeth with intraradicular retainer. (+info)
Effect of enamel preparations on fracture resistance of composite resin buildup of fractures involving dentine in anterior bovine teeth: an in vitro study.
Sixty bovine teeth with simulated mesio-incisal angle fracture were randomly and equally divided in one untreated (control) group and three experimental groups (Bevel, Chamfer and newly introduced Stair-step Chamfer preparation group) to evaluate the effect of enamel preparations on the fracture resistance of composite resin. Post restoration, fracture mechanics approach was used to quantify the failure of composite resins in testing the samples in Instron testing machine. Mean peak failure load (Newton) of composite amongst experimental groups was observed in the order; Chamfer (326.09 +/- 72.73), Stair-step chamfer (315.21 +/- 81.77) and Bevel (253.83 +/- 67.38). Results of the One-Way ANOVA revealed significant difference in the mean peak failure load values of the four different groups. (P<0.001) Scheffe's Post-Hoc comparison test (Subset for alpha = 0.05) revealed that there was no significant difference in the mean peak failure load values of the bevel, stair-step chamfer and chamfer preparation when considered together, but the mean peak values of control group (605.22 +/- 48.96) were observed significantly higher. Failure mode evaluation revealed, majority of failures occurred as cohesive and mixed type for all the experimental groups. Adhesive type failure was observed maximum (33%) in the bevel group. Stair-step chamfer preparation showed greatest potential for application and use as it no only demonstrated comparable values to Chamfer preparation ['t' value (0.39) (P > 0.05)] but also involved sacrificing less amount of tooth structure adjacent to fractured edge. (+info)
The effect of fissure morphology and eruption time on penetration and adaptation of pit and fissure sealants: An SEM study.
This study was designed to examine the effect of fissure morphology on penetration and adaptation of fissure sealants and their relationship with the eruption time of tooth. MATERIALS AND METHODS: One hundred and fifty extracted molars and premolars were divided into two groups on the basis of their eruption time. The two groups were further divided into five subgroups on the basis of fissure morphology. An scanning electron microscopic analysis of penetration and adaptation of sealant was done. OBSERVATIONS AND RESULTS: V- and U-shaped fissures were found to have the maximum penetration. Penetration was very poor for I- and IK-types of fissures. No significant difference in penetration was found in relation to eruption time. Adaptation of sealant was not affected by any of the factors. CONCLUSION: Even the well-applied sealant does not necessarily provide complete obturation of pits and fissures, thus necessitating periodical clinical observation to determine the success or potential failure of the sealant treatment. (+info)
Measurement of shear bond strength to intact dentin.
Previously, we reported that the integrity of a resin composite restoration deteriorated when the dentin cavity wall was decalcified by conditioning. In this study, to evaluate the bonding between dentin adhesive and non-decalcified dentin surface, we experimented with a novel method of using a high-pressure water spray device to prepare smear layer-free dentin surfaces. When the smear layer was removed, shear bond strength significantly increased regardless of the removal method employed. Further, with glyceryl monomethacrylate (GM) priming, no significant differences in bond strength were observed among these smear layer removal methods: ethylenediamine tetraacetic acid (EDTA) conditioning, phosphoric acid conditioning, and removal by water spray. It was also found that GM priming was key to achieving marginal integrity, whereas contraction gap width increased with phosphoric acid conditioning. It was thus concluded that the efficacy of a dentin adhesive should be evaluated by consistently observing the contraction gap in three-dimensional cavities rather than by mere measurement of bond strength to a flat dentin surface. (+info)
The chamfer finish line: preclinical student performance using different bur designs.
The primary purposes of this investigation were to evaluate sophomore dental student performance in the production of a chamfer finish line using two diamond bur types-a round-ended bur and a torpedo-shaped bur-and to gain student feedback about their preferences for bur type. Fifty students took part in the study, each of whom prepared the buccal surfaces of two mandibular molar typodont teeth, producing chamfer finish lines. Students prepared both teeth in the same laboratory session and were randomly assigned to two groups that were required to prepare the first of the two molars with a specific bur type. The prepared chamfer finish lines were scored and the data analyzed using the Wilcoxon signed-rank test. Student performance was significantly better when the round-ended bur was used (p=0.005). Student feedback was collected with a survey that consisted of four questions and the opportunity to provide write-in comments. In response to the question "Overall, was one bur type better?" 58 percent of the students preferred the round-ended bur for creating a chamfer finish line. The most frequent write-in comment, made by twelve of the fifty students, criticized the torpedo-shaped bur for creating finish lines that were too shallow or too long. (+info)
Influence of filling technique and curing mode on the bond strengths of composite cores to pulpal floor dentin.
This study evaluated the influence of filling technique and curing mode on the microtensile bond strengths (MTBS) of composite cores to pulpal floor dentin. Access cavities of human molars with pulpal floor dentin were restored with a two-step self-etch adhesive system, Clearfil Liner Bond 2V and a composite core, Clearfil DC Core Automix, using different filling techniques and curing strategies. A flowable resin composite, Clearfil Flow FX was placed on the cured adhesive resin prior to restoration with a composite core. Packing the composite in the access cavity was performed in bulk with or without light curing or using an incremental technique with light curing. Microtensile bond strengths to pulpal floor dentin were measured after 24 hours storage in water. Light curing and incremental technique had positive effects on the MTBSs. Lining with a flowable resin composite did not significantly improve the MTBSs, however, influenced the failure mode after debonding. Non-lining and bulk filling with chemical curing strategy provided the lowest MTBS. (+info)
Porcelain laminate veneer on a highly discoloured tooth: a case report.
Esthetic treatment of a single darkened tooth represents a great challenge to the dental practitioner. The properties of dental ceramic-colour stability, mechanical strength, clinical longevity, esthetic appearance and compatibility with periodontal tissues-make this material a good choice for such treatment. We present a case of restoration of a single, highly darkened anterior tooth with a feldspathic porcelain veneer. Resolution involved preparation of the dental structure guided by orientation grooves and provisional restoration using composite resin, a silicone impression and adhesive luting. Conservative use of porcelain laminate veneers provides satisfactory esthetic outcomes and preserves sound tooth structure. The patient was very satisfied with the result and had no complaints during 2 years of follow-up. (+info)