Indiana University-Purdue University Indianapolis (IUPUI) / Since their introduction in 1970, glass ionomer cements have been used in a wide variety of clinical situations in dentistry. The main advantages of glass ionomer cements are chemical bonding, fluoride release and uptake, excellent seal against microleakage, and biocompatibility. The main objective of this study was to compare the microleakage of two new paste-paste glass ionomer systems to their traditional RMGIC counterparts when conditioning the dentin with newly developed no-rinse conditioners or polyacrylic acid. Materials and methods: Standardized cavity preparations were made, centered on the cementoenamel junction of the buccal surface, on 96 extracted human molars divided in 8 groups (n = 12). G1 Ketac Nano with Ketac Nano Primer, G2 Ketac Nano with Ketac Conditioner, G3 Photac Fil with Ketac Nano Primer, G4 Photac Fil with Ketac Cavity Conditioner, G5 Fuji Filling LC with GC Self Conditioner, G6 Fuji Filling LC with GC Cavity Conditioner, G7 Fuji II LC with GC Self Conditioner, G8 Fuji II LC with GC Cavity Conditioner. The cavities were treated with either a no-rinse or polyacrylic acid conditioner and restored with a paste-paste RMGIC or traditional RMGIC from the same manufacturer (n =12). The teeth were then sealed to within 2 mm of the restoration margins and thermocycled. The teeth were immersed in 2.0-percent methylene blue and stored at room temperature for 24 hours. Then, the teeth were be embedded in resin and sectioned longitudinally in a buccolingual direction making 1 section (1 mm thick) per tooth. The occlusal and gingival restoration margins of each specimen were examined with a stereomicroscope at X10 magnification to determine the degree of microleakage. Results: Mixed-model ANOVA was used to test the fixed effect of the eight groups and cervical vs. occlusal location within each tooth sample on microleakage, with sample as the random effect. Both main effects and the interaction are significant, p < 0001 for both group and location effects, and p = 0.0013 for the interaction of group and location. The cervical interface showed more microleakage in all groups except group 8 where microleakage was the same as at the occlusal margin. No significant difference was observed among groups for microleakage at the occlusal interface. There was significant difference among groups at the cervical interface with Fuji II LC using GC Cavity Conditioner performing best. For the occlusal interface Group 4 performed the best and Group 2 performed the worst, although the difference was not significant among the groups. For the cervical interface, Group 8 performed the best followed by Group 3, Group 4 and Group 6, although these four groups were not significantly different. For the cervical interface, group 2 performed the worst followed by group 1. Based on these results we can conclude that, overall, traditional RMGIC with polyacrylic acid conditioning performed better than the new paste-paste RMGIC systems utilizing the no-rinse conditioners.

Indiana University-Purdue University Indianapolis (IUPUI) / Potential problems of one-step adhesives have been identified, including water uptake and subsequent plasticization, water-and enzyme-induced nanoleakage, and the presence of voids due to phase-separation or osmosis. Clinically, adhesive failures due to marginal degradation present as retention loss, marginal discoloration, and secondary caries. However, the mechanisms of adhesive interface degradation of self-etching and self-bonding resin luting agents are not fully understood. The objective of the study was to investigate adhesive layer degradation by using a nanoleakage technique with five different resin luting agents. Materials and Methods: Five different resin luting systems, Variolink II, Panavia F2.0, RelyX Unicem, RelyX Unicem2, and Maxcem Elite were evaluated in this study. The 25 dentin specimens were randomly divided into five resin luting agent groups. Flat dentin surfaces were created mid-coronally and were luted with luting agents. Then, each tooth was sectioned occluso-gingivally. The first half of each tooth was used as a control group and the other half was used as the experimental group. The control group was immersed in artificial saliva at 37°C and SEM examination with chemical analysis was performed within 48 hours. In the tested group, all specimens were immersed in artificial saliva at 37°C for 10 days and thermocycled. For the SEM examination, the specimens were immersed in a 50-percent ammoniacal silver nitrate solution for 24 hours.22 SEM was used for observation of silver penetration of the specimens. Three scan lines were selected. For elemental analysis, natural apatite, olivine minerals, and pure silver metal were chosen as standards for Ca, Si and Ag. Data were analyzed using ANOVA with a 5-percent significance level. Results: At the bottom of the hybrid layer, there was no significant difference in silver uptake within the adhesive interface between luting agents (p > 0.05) and there was no significant change in silver uptake within the adhesive interface after thermocycling (aging) (p > 0.05). Conclusion: All resin luting agents exhibited nanoleakage after both 24-hour storage and 10-day storage with thermocycling.