Indiana University-Purdue University Indianapolis (IUPUI) / The purpose of this study is to further investigate the effect of using six different light source types with different light output intensities on the parameters of a mathematical model that predicts the DOC in VLDC’s. In this equation: D = Dp In(E0/Ec), D is the depth of cure in millimeters, E is the curing energy in J/cm2, Ec is the critical curing energy for the composite to reach a gel layer, and Dp is a characteristic coefficient. Three LED and three halogen dental curing units with different light output intensities were used to cure three shades (B1, A3, D3) of a hybrid resin composite. The exposure duration was at the intervals of 10, 20, 30, and 40 seconds for each sample setting. ISO scraping technique was performed to measure the depth of cure of each sample. Regression analysis was used to assess the fit of the proposed mathematical model D = Dp In(E0/Ec) to the experimental data obtained in this study. 72 For all the shade-light combinations; A3, B1, and D3 had significantly different regression lines (P < 0.05) with significantly higher Dp and Ec for B1 than A3 and D3. The only exceptions were for the Ec values between B1 and D3 in Allegro, Astralis 5, and Visilux 2 groups; and the Ec between A3 and B1 in Allegro group. The Dp and Ec parameters didn’t show significant differences between A3 and D3 shades in all the groups. Also, most of the significant differences for Dp values occurred in the B1 shade-light combinations; however, none of the D3 shade-light combinations showed significant differences for Dp. Several factors play combined influential effects on the kinetics of polymerization and depth of cure in VLDC’s. The shade has a more dominant effect on both parameters Dp and Ec than the curing light type or source output intensity. As we cure lighter shades “B1,” the effect of using different lights with different output intensities on the two parameters Dp and Ec will be greater and more significant than for darker shades “A3 or D3.” The clinical significance drawn from this study is that clinicians should recognize that using curing lights w/ increased output intensities doesn’t absolutely increase the DOC of VLDC’s especially with the darker shades.

Indiana University-Purdue University Indianapolis (IUPUI) / The purpose of this study was 1) To determine the impact of eliminating or delaying the photo-activation procedure on the polymerization contraction stress (PCS)and degree of conversion (DC) of a dual-cured resin luting agent, and 2) To determine the amount of delay in photo-initiation of the dual-cured resin cements that can achieve a reduced PCS value with the highest possible DC. The amount of PCS and DC of a dual-cured resin luting agent was determined using a tensometer and ATR spectroscopic technique, respectively. Photo-activation delay in seven tested groups was 0 min, 2 min, 4 min, 6 min, 8 min, 10 min and no photoactivation. Five samples for each group were tested. There were two hypotheses for this study: 1) A significant decrease in the amount of PCS associated with delayed photo-activation, and 2) A significant increase in DC associated with delayed photo-activation.The PCS of the chemical-cure luting agent had significantly lower value than all of the light-cure groups. For the light-cure groups, those with a 4-min delay had higher PCS than those with delays of 0 min, 2 min, 6 min, 8 min, and 10 min. The zero (0)-min and 2-min delay had higher PCS than the 6-min, 8-min, and 10-min delay; and the 6-min delay had higher PCS than the 8-min and 10-min delay. The PCS decreased 0.086 MPa per minute of delay. The DC of the chemical-cure luting agent had significantly lower value than the 2-min, 4-min, 6-min, 8-min, and 10-min delaylight cure. For the light-cure groups, 0-min delay had a lower DC than the 2-min, 4-min, 6-min, 8-min, and 10-min delay; 2-min delay had lower DC than 4-min, 6-min, 8-min, and 10-min delay. The 4-min and 6-min delay had lower DC than the 8-min and 10-min delay; and the 8-min delay had a lower degree of conversion by peak area than the 10- minute delay. The DC increased 0.021 per minute of delay. Extending the stress relief period of the dual-cured luting agents by delaying light activation has a significant impact on PCS and DC values. There was significant decrease in PCS with the delayed light curing of the resin luting agent. Significant increase in DC was noticed when light activation was delayed in the dual-cured resin luting agents.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: A silorane based resin composite, Filtek LS restorative, has been introduced to overcome the polymerization shrinkage of the methacrylate based resin composite. The repair of resin composite may hold clinical advantages. Currently, there is no available information regarding the repair potential of silorane resin composite with either silorane or methacrylate based resin composite. Objectives: The purpose of this study was to compare the repaired microtensile bond strength of aged silorane resin composite using different surface treatments and either silorane or methacrylate based resin composite. Methods: One hundred and eight silorane resin composite blocks (Filtek LS) were fabricated and aged by thermocycling between 8oC and 48oC (5000 cycles). A control (solid resin composite) and four surface treatment groups (no treatment, acid treatment, aluminum oxide sandblasting and diamond bur abrasion) were tested. Each treatment group was randomly divided in half and repaired with either silorane resin composite (LS adhesive) or methacrylate based resin composite (Filtek Z250/Single Bond Plus). Specimens were 12 blocks and 108 beams per group. After 24 hours in 37oC distilled water, microtensile bond strength testing was performed using a non-trimming technique. Fracture surfaces were examined using an optical microscopy (20X) to determine failure mode. Data was analyzed using Weibull-distribution survival analysis. Results: Aluminum oxide sandblasting followed by silorane or methacrylate based resin composite and acid treatment with methacrylate based resin composite provided insignificant differences from the control (p>0.05). All other groups were significantly lower than the control. Failure was primarily adhesive in all groups. Conclusion: Aluminum oxide sandblasting produced comparable microtensile bond strength compared to the cohesive strength of silorane resin composite. After aluminum oxide sandblasting, aged silorane resin composite can be repaired with either silorane resin composite with LS system adhesive or methacrylate based resin composite with methacrylate based dentin adhesive.

Indiana University-Purdue University Indianapolis (IUPUI) / Background: Since the introduction of glass ionomer cements (GICs) in the 1970s, many attempts have been made to improve them and expand their application in restorative dentistry. Recently, GC America introduced a new glass ionomer restorative system called EQUIA. The manufacturer claims that this material has improved wear resistance by coating the surface of high-strength GIC with a nano-filled resin coating. Objective: The objective of this study was to measure the wear resistance and hardness of EQUIA and to compare it to other current restorative materials. Materials and Methods: Four different materials were used in this study: EQUIA, Fuji IX GP Extra, Fuji II LC and Z-100. Six specimens of each material were made and then tested in a toothbrush abrasion machine for 20,400 cycles, after which the amount of volume loss was calculated. Eight specimens of each material were made and tested in a three-body Alabama wear testing machine under a load of 75 N for 400,000 cycles. Four surface profiles were obtained from each specimen and volume loss was calculated using computer software. Five specimens of each material were made and Knoop microhardness was determined by using the mean of the three values from the top surface of the specimen. Results of each test were collected and compared with the other materials using one-way analysis of variance (ANOVA) at a significance level of 0.05. Results: Wear-resistance results showed that EQUIA has wear-resistance values comparable to composite resin and higher values than those for the high-strength GIC. The results also showed that Fuji II LC had the highest wear among all tested materials. Microhardness results showed that EQUIA has significantly lower microhardness than Fuji IX GP Extra and Z-100. Conclusion: Based on the results of the present study, it can be concluded that coating the surface of glass ionomer restorations with a nano-filled resin coat results in increasing the wear resistance and decreasing the microhardness of the material. Within the limitations of this study, EQUIA has comparable wear resistance to composite resin.

No description available.

Background: The light-cured resin-based pit and fissure sealants success and longevity are enhanced by sufficient curing. Multiple emission peak Light Emitting Diode Light Curing Units offer a wider range of wavelengths and different levels of irradiances to ensure sufficient curing.The irradiance is considered a main curing factor that can affect the material properties. Purpose: The aim of this study was to assess the effect of different settings of a multiwave LED LCU on the degree of conversion and microhardness of a pit and fissure sealant comparing the irradiance of 1000 mW/cm2 to 1400 mW/cm2 and 3200 mW/cm2 irradiances of the LCU using manufacturer’s guidelines for curing times at 2, 4 and, 6 mm distances. Methods: A multiwave LED light curing unit was evaluated on three different irradiance levels 1000 mW/cm2 (S), 1400 mW/cm2 (H), and 3200 mW/cm2 (X). A total of 90 samples made from the fissure sealant were fabricated and divided into eighteen groups (n=5/group). Samples were cured following manufacturer’s guidelines of curing times for each curing mode at 2, 4, or 6 mm distance between the light tip and top of samples. The DC was measured using (ATR-FTIR) spectroscopy. The KHN test was performed on five different locations of each specimen using a hardness tester (Leco LM247AT, MI, USA, software; Confident V 2.5.2). Results: The top DC for H-8 was significantly higher than S-10 at 2 and 4mm, H-20 DC was significantly lower than S-30 at only 2mm. The bottom DC for H-8 was significantly higher than S-10 at 2mm only, H-20 DC was significantly lower than S-30 at 4 and 6mm only. H-8 KHN at top surface was significantly lower than S-10 at 2mm only, H-20 was significantly lower than S-30 at 2 and 6mm only. H-8 KHN at bottom surface was significantly lower than S-10 at 4 and 6mm but significantly higher at 2mm. H-20 was significantly lower than S-30 at 2mm but significantly higher at 4 and 6mm. The top DC for X-3 was significantly lower than S-10 at all curing distances with no significant difference at all curing distances between X-9 and S-30. The bottom DC for X-3 was significantly higher than S-10 at all curing distances with no significant difference between X-9 and S-30. X-3 KHN at top surface was significantly lower than S-10s at all curing distances. X-9 was significantly lower than S-30 at 6mm only. X-3 KHN at bottom surface was significantly lower than S-10 at 2 and 4mm only with no significant difference at all curing distances between X-9 and S-30. Conclusions: Using a multiwave LED LCU to polymerize Delton Opaque resin-based fissure sealants will result in an optimal DC and KHN values for any irradiance level if the curing distance is kept at 4 mm or less and with at least two cycles of the shortest curing time recommended by the manufacturer. Using a multiwave LED LCU with 1000, 1400 or 3200 mW/cm2 irradiance levels with shortest curing times recommended resulted in unsatisfactory DC and KHN levels. LED LCU with high and extra high irradiance levels (1400 and 3200 mW/cm2) can result in high DC and KHN levels when used adequately. Xtra Power mode (3200 mW/cm2) used on shortest curing time (3 seconds) resulted in significantly lower mechanical properties and for that reason it is not recommended to be used.

Este estudio tuvo como finalidad comparar la rugosidad superficial (RA) de resinas compuestas nanoparticulada convencional y Bulk fill, ante la exposición de Vitamina C y dentífricos. Se fabricaron 64 discos de resina compuesta (10mm de diámetro por 2 de espesor) divididos en dos grupos, 32 de resina de nanopartículas convencional y 32 de resina de nanopartículas Bulk fill, 8 muestras de cada grupo fueron expuestas 2 min. a Vit C por 28 días, a dentífrico convencional y a un dentífrico blanqueador, donde los discos recibieron el tratamiento de cepillado dental mediante una máquina que simulaba los movimientos horizontales de este procedimiento en 120 ciclos por 1 minuto también en 28 días, los grupo control fueron expuestos a agua destilada. Se realizó una lectura de RA en un rugosìmetro al inicio y al final de la exposición a los agentes. Los resultados de RA fueron analizados por el test de Anova (p 0,00), la prueba de Tukey y t de Student (p 0,05). Existieron diferencias estadísticamente significativas al comparar la RA de resinas compuestas nanoparticulada convencional y Bulk fill, ante la exposición de agentes químicos y físicos, donde el grupo correspondiente a la resina Bulk fill expuesta el dentífrico convencional, presenta mayor RA. Asimismo existieron diferencias estadísticamente significativas al comparar la RA de resinas compuestas nanoparticulada convencional y Bulk fill antes y después de la exposición a Vit C y dentífricos convencional y blanqueador. / The purpose of this study was to compare the surface roughness (RA) of conventional nanoparticulate and bulk fill composite resins, when were exposed to Vitamin C and toothpastes. 64 composite resin discs were manufactured (10mm in diameter by 2mm thick) divided into two groups, 32 of conventional nanoparticle resin and 32 of Bulk fill nanoparticle resin, 8 samples from each group were exposed for 2 min. to Vit C for 28 days, to conventional toothpaste and to a whitening toothpaste, where the discs received the tooth brushing treatment in a machine that simulated the horizontal movements of this procedure in 120 cycles per 1 minute also in 28 days, the groups control were exposed to distilled water. The RA reading was taken on a rugosimeter at the beginning and at the end of exposure to the agents. The RA results were analyzed by the Anova test (p 0.00), the Tukey test and the Student`s t-test (p 0.05). There were statistically significant differences when comparing the RA of conventional nanoparticulate composite resins and Bulk fill, when exposed to chemical and physical agents, where the group corresponding to the Bulk fill resin exposed to conventional toothpaste presents greater RA. Likewise, there were statistically significant differences when comparing the RA of conventional nanoparticulate composite resins and Bulk fill before and after exposure to Vit C and conventional and whitening toothpastes.

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / PURPOSE: To evaluate the effect of aqueous solutions of chlorhexidine digluconate (CHX) in different concentrations on bond strength to eroded dentin up to 6 months, using normal dentin as a control. METHODS: Exposed flat dentin of extracted third molars was only ground with 600-grit SiC paper/1 minute (normal dentin - N), or subsequently eroded by a regular-cola soft-drink (eroded dentin - E). N and E were acid-etched, washed, dried and rehydrated with 1.5 μL, respectively, of distillated water (control - NC / EC); of 0.004% CHX (N0.004% / E0.004%); or of 2% CHX (N2% / E2%). Adper Single Bond 2 was applied in all specimens and resin composite buildups were constructed with Filtek Z350. Specimens were sectioned in beams, which were tested (μTBS) immediately or after 6 months of aging. RESULTS: Microtensile bond strength to eroded dentin was always significantly lower than that to normal dentin. Application of tested CHX solutions did not exert a significant effect immediately; however, after aging, the 2% CHX prevented abrupt bond strength loss both to eroded and normal dentin. / Revisión por pares

Indiana University-Purdue University Indianapolis (IUPUI) / Reduction of the polymerization shrinkage stress inherent of dimethacrylate-based resin composites has been a work in progress since the phenomenon was first described by Dr. Rafael L. Bowen in 1967. Contemporary efforts to modify the composites or the curing protocols for polymerization have proven a challenging task with controversial results. Influenced by existing mathematical models relating exposure, curing time and depth of cure of resin composites, a novel method for the reduction of polymerization shrinkage stress is proposed. By polymerizing through a single aperture mask, a dental light curing unit is transformed from a planar light source to a point light source, and a fully cured, three-dimensional “bullet” shaped curing front is predicted for the cured resin below. So long as the edges of the bullet do not touch the cavity walls or floor, the shrinkage stress of the bullet is not transferred. Follow-up with an unmasked curing unit then fully polymerizes the restoration. By reducing the volume of uncured composite in contact with the cavity walls and floor, shrinkage stress of the restoration is also reduced. The objective of the present study was to demonstrate this curing phenomenon with a model resin composite using masks with aperture diameters of 0.5, 0.4, and 0.25 mm and curing times of 10, 20, 30, and 40 seconds. The resulting curing front was evaluated quantitatively and qualitatively. From this, mathematical models of the curing front were derived. Selected combinations of aperture mask and curing time were then investigated to evaluate the influence of this phenomenon on the degree of conversion, Knoop hardness, and polymerization shrinkage stress of the same model resin composite. Group differences were analyzed using a one-way ANOVA at 5% significance.

<p>Uvođenje nanočestica u stomatolo&scaron;ke kompozitne materijale predstavlja poku&scaron;aj da se odgovori univerzalnim zahtevima za kvalitetom direktnog zubnog ispuna, i da se stvori materijal koji kombinuje visoku mehaničku otpornost sa dobrim estetskim karakteristikama i zadovoljavajućim kvalitetom poliranja. Cilj sprovedene studije je bio da se ispita uticaj nanočestica, i soft-start metode svetlosne indukcije polimerizacije na mehanička i povr&scaron;inska svojstva savremenih stomatolo&scaron;kih nanokompozita, dostupnih na trži&scaron;tu. Ispitana su četiri stomatolo&scaron;ka nanostrukturisana kompozitna materijala na bazi smola i jedan univerzalni mikrohibridni kompozit, kao referentni materijal (Filtek Z250, 3M ESPE). Kori&scaron;ćena su po dva reprezentativna materijala iz dve podgrupe nanokompozita: nanopunjenih (Filtek Ultimate Body, 3M ESPE i Filtek Ultimate Translucent, 3M ESPE) i nanohibridnih kompozita (Filtek Z550, 3M ESPE i Tetric EvoCeram, Ivoclar Vivadent - TEC). Uzorci su polimerizovani nakon svetlosne aktivacije polimerizacije, uz kori&scaron;ćenje dva svetlosna režima: konvencionalnog i soft start režima. Pritisna i zatezna čvrstoća (dobijena poprečnim sabijanjem valjka, engl. diametral tensile strength) testirane su na Univerzalnoj ma&scaron;ini, kidalici. Tvrdoća uzoraka merena je testom za određivanje tvrdoće po Vickersu. Povr&scaron;inska tekstura i parametri hrapavosti određeni su skeniranjem povr&scaron;ine mikroskopom atomskih sila. Uop&scaron;teno, TEC je pokazao najniže vrednosti pritisne i zatezne čvrstoće, i tvrdoće, i statistićki je značajno bio slabiji od drugih testiranih materijala kroz sve mehaničke testove. Suprotno, TEC je imao najniže vrednosti parametara hrapavosti među testiranim materijalima. Spoj prepolimerizovanog punioca i polimerne baze u ovom materijalu pokazao se kao njegova slaba tačka. Navedeni materijal je iz tog razloga pokazao značajno slabiju otpornost od ostalih na razvijene napone izazvane dejstvom mehaničkih sila. Čestice nanodimenzija u sastavu stomatolo&scaron;kih polimernih kompozita, samostalno, nisu imale značajan uticaj na pobolj&scaron;anje mehaničkih i povr&scaron;inskih svojstava testiranih kompozita. Zaključeno je i da se procentualna zastupljenost neorganskih čestica u polimernoj bazi ne može smatrati apsolutnim kriterijumom kvaliteta kompozita, u pogledu njihovih mehaničkih svojstava. Samo srodni materijali, izrađeni istim tehnolo&scaron;kim postupkom, koji imaju veoma sličan ili isti hemijski sastav, pokazali su se kao mehanički superiorniji ukoliko su sadržali veći procenat neorganske komponente u svom sastavu. Nano prefiks u nazivu klase materijala ne garantuje sigurnu prednost stomatolo&scaron;kih nanokompozita nad univerzalnim mikrohibridnim kompozitima.</p> / <p>The introduction of nanoparticles in dental composite materials was an attempt to respond to the universal quality requirements for a direct dental restoration, and to create a material that meets the needs of high mechanical resistance, good aesthetic characteristics and surface properties of tooth restoratives. The aim of this study was to investigate the effect of nanoparticles in materials composition, and the soft start photoactivation method on the mechanical and surface properties of contemporary dental nanocomposites, available in the market. Four dental resin based nanostructured composites were tested along with a universal microhybrid one, as reference material (Filtek Z250, 3M ESPE). Two representative materials from the two classification subgroups were tested, nanofilled (Filtek Ultimate Body, 3M ESPE and Filtek Ultimate Translucent, 3M ESPE) and nanohybrid composites (Filtek Z550, 3M ESPE and Tetric EvoCeram, Ivoclar Vivadent, TEC). Polymerization of the samples was light activated using two light modes: conventional and soft start. Compressive and diametral tensile strength were tested on the Universal testing machine. The Vickers hardness was also determined. Surface texture and roughness parameters were examined by atomic force microscopy. Generally, TEC showed the lowest values of compression, tensile strength and hardness, and was statistically different from the other tested materials throughout all mechanical tests. In contrast, TEC had the lowest values of roughness parameters among the tested materials. In this material, contact zone of prepolimeryzed filler and polymer matrix appeared to be a weak point. For this reason, this material showed significantly lower resistance than the others on mechanically developed stresses. Nanosized particles within the dental polymer composites, individually, did not have a significant influence on improving the mechanical and surface properties of tested composites. It is concluded that the inorganic volume fraction in composites cannot be considered as an absolute criterion of their quality, regarding their mechanical properties. Only similar materials, made using the same technological process, which have very similar or the same chemical composition, and similar technological method of synthesis and optimization of organic and inorganic components, showed improved mechanical strength, if they contained a higher percentage of inorganic components in their composition. Nano prefix in the name of material&rsquo;s class does not guarantee the pure advantage of dental nanocomposites in comparison with the universal microhybrid composites.</p>