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Shrinkage stress is determined by the elastic modulus during shrinkage, not the final elastic modulus 收缩应力由收缩过程中的弹性模量决定,而不是最终的弹性模量。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-08 DOI: 10.1016/j.dental.2025.07.022
Daranee Tantbirojn , Jared Quave , Anne E. Hill , Clint S. Conner , Antheunis Versluis

Objectives

Polymerization shrinkage in restored teeth is implicated in restoration longevity. This study explored how development of shrinkage and elastic modulus of resin-based composites interact and discussed the level of residual stress they create.

Methods

Residual stress was assessed by cuspal flexure of typodont premolars with 3 × 3 mm mesio-occlusal-distal preparations. The teeth were restored with one of three bulk-fill flowable composites (everX Flow Short-fiber Reinforced, GC; Filtek Bulk Fill, 3 M; or SDR Flow+ Bulk Fill, Dentsply Sirona) placed in one bulk increment. Tooth surfaces were scanned before (‘baseline’) and after restoration (15 min and 24hrs). Cuspal flexure was determined by comparing scans of restored teeth with their baseline. Bond integrity was verified with dye. Post-gel shrinkage was measured using a strain gauge, and elastic modulus at 15 min and 24hrs using four-point bending. Sample size was 10. Results were analyzed with ANOVA statistics (α=0.05).

Results

Cuspal flexure differed significantly among composites (p = 0.001) but not between 15 min and 24hrs (p = 0.889). The fiber-reinforced composite caused significantly higher cuspal flexure compared to the conventional flowables (17μm versus 7μm) despite its lower post-gel shrinkage (0.53 versus 0.74 and 0.58 vol%). The elastic modulus of the fiber-reinforced composite was significantly higher at 15 min than the other composites (8 GPa versus 2 GPa), and increased significantly at 24hrs (12 GPa versus 8 GPa).

Significance

High elastic modulus development rate eliminated benefits associated with low post-gel shrinkage. Cuspal flexure and therefore residual shrinkage stress was largely determined by the early elastic modulus, when composite was still shrinking, not the mature (final) elastic modulus value.
目的:修复牙的聚合收缩与修复寿命有关。本研究探讨了树脂基复合材料的收缩率和弹性模量的发展如何相互作用,并讨论了它们产生的残余应力水平。方法:采用3 × 3 mm的中牙合远端制剂,通过牙尖屈曲来评估残余应力。采用三种可流动填充复合材料中的一种修复牙齿(everX Flow Short-fiber Reinforced, GC;Filtek散装填料,3 M;或SDR流量+散装填充,Dentsply Sirona)放置在一个散装增量中。在修复前(“基线”)和修复后(15 min和24小时)扫描牙齿表面。牙尖屈曲是通过比较修复牙齿的扫描结果和基线来确定的。用染料验证了键的完整性。凝胶后收缩率采用应变计测量,弹性模量在15 min和24小时采用四点弯曲。样本量为10。结果采用方差分析(α=0.05)。结果:复合材料的尖屈曲有显著差异(p = 0.001),但在15 min和24h之间无显著差异(p = 0.889)。尽管纤维增强复合材料的凝胶后收缩率较低(0.53 vs 0.74和0.58 vol%),但与传统流动材料相比(17μm vs 7μm),其尖端挠度明显更高。纤维增强复合材料的弹性模量在15 min时显著高于其他复合材料(8 GPa vs 2 GPa),在24h时显著增加(12 GPa vs 8 GPa)。意义:高弹性模量发展速率消除了低凝胶后收缩相关的益处。尖端弯曲和残余收缩应力很大程度上取决于复合材料仍在收缩时的早期弹性模量,而不是成熟(最终)弹性模量。
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引用次数: 0
Factors influencing the longevity of resin-based composite restorations 影响树脂基复合修复体寿命的因素。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-08 DOI: 10.1016/j.dental.2025.07.018
Akimasa Tsujimoto , J.C. Thomas , Daniel Caplan

Objectives

The longevity of resin-based composite (RBC) restorations is influenced by many factors, and it is difficult to assess all of them in small data sets. This study uses a large data set from a university and its dental clinics to assess many potentially predictive factors of restoration survival.

Methods

This retrospective cohort study used de-identified data from electronic dental records of patients attending records the University of Iowa and its dental clinics. Multivariable Cox proportional hazards models were generated to determine which variables influenced the longevity of the restorations, and model selection via best subset selection on Bayesian Information Criterion (BIC) was used to select the best model.

Results

The number of surfaces covered by the restoration showed a very strong influence, with more surfaces leading to reduced longevity (HR 2.49 (CI 1.97–3.15), p < 0.001 for 4 surfaces), but the inclusion of a proximal surface did not have a significant influence. The presence of an eating disorder (HR 1.72 (CI 1.15–2.56), p = 0.008), dry mouth (HR 1.20 (1.02–1.43), p = 0.033), or dental fear (HR 1.39 (CI 1.14–1.69), p = 0.001) also had a negative effect on restoration longevity, but bruxism/clenching did not. The type of filler used in the RBC, conventional or supra-nano spherical, also affected restoration longevity, with greater longevity for supra-nano spherical filler (HR 0.61 (CI 0.45–0.82), p = 0.001).

Conclusions

Type of provider showed no impact on restoration longevity in this study, and only a very limited number of patient factors were significant. Differences in the type of filler and the number of surfaces covered by the restoration did have a significant effect on restoration longevity.
目的:树脂基复合材料(RBC)修复体的寿命受许多因素的影响,很难在小数据集中对所有因素进行评估。本研究使用来自一所大学及其牙科诊所的大量数据集来评估许多潜在的预测修复生存的因素。方法:本回顾性队列研究使用来自爱荷华大学及其牙科诊所就诊患者电子牙科记录的去识别数据。建立多变量Cox比例风险模型,确定影响修复体寿命的变量,并通过贝叶斯信息准则(BIC)的最佳子集选择来选择最佳模型。结果:修复体覆盖的表面数量对修复体寿命的影响非常大,表面越多,寿命越短(HR 2.49 (CI 1.97-3.15), p 结论:在本研究中,提供者类型对修复体寿命没有影响,只有非常有限的患者因素具有显著性。填充物类型和修复体覆盖表面数量的差异确实对修复寿命有显著影响。
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引用次数: 0
Feasibility and safety of a novel laser-induced adhesive for orthodontic debonding 一种新型激光诱导黏合剂用于正畸脱粘的可行性和安全性。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-08 DOI: 10.1016/j.dental.2025.07.021
Yuyang Gan , Yuan Yuan , Yanning Gong , Quan Fang , Guangjun Liu , Yuqian Li , Denson Cao , Daniel C.N. Chan , Jianying Feng

Objectives

This study evaluates the feasibility and safety of a laser-induced reversible adhesive (LIRA) by assessing intrapulpal temperature changes (ITC), shear bond strength (SBS) following laser irradiation, and optimal adhesive removal methods.

Methods

Thirty premolars were used to measure ITC under laser powers of 1 W, 2 W, and 3 W until the temperature exceeded the 5.6 ℃ threshold. For SBS testing, one hundred and twenty premolars were divided into twelve groups based on bracket type (metal/ceramic) and laser treatment (untreated, 1 W-4 s, 2 W-4 s, 1 W-8 s, 2 W-8 s, and 3 W-4 s). Adhesive remnant index (ARI) was recorded. Additionally, one hundred thirty-five premolars were assigned to nine groups based on laser power (1 W, 2 W, 3 W) and adhesive removal methods (ultrasonic scaler, tungsten carbide bur, diamond bur) for surface roughness and removal time assessment. Statistical analysis was performed using ANOVA, t-tests, and the Kruskal-Wallis test (α=0.05). Furthermore, the debonding resin-enamel interface and enamel surface morphology were observed by scanning electron microscopy (SEM).

Results

The time to exceed the temperature threshold decreased with increasing laser power. The 1 W-8 s and 2 W-8 s groups showed the lowest SBS (p < 0.05). Ultrasonic scaler removal exhibited significantly lower enamel roughness (p < 0.05), while removal time showed no significant difference at 2 W laser power (p > 0.05).

Significance

LIRA may provide a potentially safer and more efficient strategy for orthodontic bracket bonding, achieving efficient debonding while minimizing enamel damage and ensuring pulp safety.
目的:本研究通过评估激光照射后的牙髓内温度变化(ITC)、剪切结合强度(SBS)以及最佳的去除方法来评估激光诱导可逆粘接剂(LIRA)的可行性和安全性。方法:30颗前磨牙分别在1 W、2 W和3 W的激光功率下测量ITC,直至温度超过5.6℃阈值。120颗前磨牙根据托架类型(金属/陶瓷)和激光治疗(未治疗、1 W-4 s、2 W-4 s、1 W-8 s、2 W-8 s和3 W-4 s)分为12组进行SBS测试。记录黏合剂残留指数(ARI)。此外,根据激光功率(1 W, 2 W, 3 W)和胶粘剂去除方法(超声除垢器,碳化钨钎焊,金刚石钎焊)对135颗前磨牙的表面粗糙度和去除时间进行评估,将其分为9组。统计学分析采用方差分析、t检验和Kruskal-Wallis检验(α=0.05)。扫描电镜观察树脂-牙釉质脱粘界面及牙釉质表面形貌。结果:随着激光功率的增加,超过温度阈值的时间缩短。1 W-8 s组和2 W-8 s组SBS最低(p  0.05)。意义:LIRA可能为正畸托槽粘接提供一种潜在的更安全、更有效的策略,实现有效的脱粘,同时最大限度地减少牙釉质损伤,确保牙髓安全。
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引用次数: 0
In vitro Streptococcus mutans and Candida albicans adhesion on clear orthodontic aligners exposed to artificial saliva 体外变形链球菌和白色念珠菌在暴露于人工唾液的正畸矫正器上的粘附。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.dental.2025.07.015
Helena Reis de Souza Schacher , Maiara Monteiro Oliveira , Renata Medina-Silva , Luciane Macedo de Menezes

Objectives

Considering the pathogenic potential of some bacteria and yeast species in oral cavity this study aimed to analyze the capability of Streptococcus mutans and Candida albicans in artificial saliva (AS) to form biofilm on clear aligners.

Methods

Clear aligners fragments (Invisalign™) were subjected to a 7-day biofilm formation experiment in AS and tryptic soy broth (TSB) with S. mutans or C. albicans pre-inoculated. TSB and AS cultures were evaluated for microbial growth and biofilm formation with crystal violet assay. Quantitative data were statistically compared using the Mann-Whitney test and the Pearson correlation. Also, fragments were qualitatively processed using scanning electron microscopy (SEM) images.

Results

TSB induced the growth of S. mutans more effectively when compared to AS. Both media induced significant growth of C. albicans compared to biofilm, with TSB being significantly higher than AS. However, for both microorganisms, biofilm formation in AS and TSB did not show differences, indicating they may not depend on nutrients to adhere on clear aligners. SEM images showed bacteria and yeast cells adhering to the appliance’s inner surfaces for both media.

Significance

Aligners cover tooth enamel and gingival tissues for a long time and can interfere with oral microbiota and human health. Recognizing the real capacity of bacteria and yeast species to adhere to the surface of new aligners is important for raising awareness among professionals and patients.
目的:考虑口腔内某些细菌和酵母菌的致病性,本研究旨在分析人工唾液(AS)中变形链球菌和白色念珠菌在透明对准剂上形成生物膜的能力。方法:使用事先接种了变形链球菌或白色念珠菌的透明对准剂片段(Invisalign™),在AS和胰蛋白酶肉汤(TSB)中进行为期7天的生物膜形成实验。用结晶紫法评价TSB和AS培养物的微生物生长和生物膜形成情况。定量资料采用Mann-Whitney检验和Pearson相关进行统计学比较。同时,用扫描电子显微镜(SEM)图像对碎片进行定性处理。结果:与AS相比,TSB能更有效地诱导变形链球菌的生长。与生物膜相比,两种培养基均能显著诱导白色念珠菌生长,其中TSB显著高于AS。然而,对于这两种微生物来说,AS和TSB中的生物膜形成没有表现出差异,这表明它们可能不依赖于营养物质来粘附在清晰的对准剂上。扫描电镜图像显示细菌和酵母细胞粘附在两种介质的器具内表面。意义:牙齿矫正器长期覆盖牙釉质和牙龈组织,对口腔微生物群和人体健康有干扰作用。认识到细菌和酵母菌粘附在新牙齿矫正器表面的真正能力,对于提高专业人员和患者的认识非常重要。
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引用次数: 0
Cavitation erosion: An efficient method for promoting osteogenesis and immunomodulation of titanium surface 空化侵蚀:一种促进钛表面成骨和免疫调节的有效方法。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.dental.2025.07.017
Muqi Jiang , Yasheng Sun , Zhixiang Nie , William M. Palin , Lihua Qian , Jukka P. Matinlinna , Li Hu , Zhen Zhang

Objectives

Surface treatments of titanium dental implants can improve osseointegration and reduce the incidence of peri-implantitis. This study provides a new approach for surface modification by utilizing the principle of cavitation(CAV), which can generate high temperature and pressure with micro-jets acting on the surface.

Methods

Titanium surfaces were treated by CAV, and compared with a control group (sandblasted, large grit, and acid-etched, SLA). The microscopic morphology and roughness of the titanium surfaces, as well as their effect on osteoblast and macrophage biocompatibility were measured.

Results

Characteristic CAV pits were formed on the surface following CAV treatment, and roughness was significantly increased compared to the SLA surface (p < 0.05). The CAV treatment not only promoted adhesion, proliferation, and osteogenic differentiation of osteoblasts more effectively than SLA, but also facilitated the polarization of macrophages towards an anti-inflammatory phenotype.

Conclusions

An innovative titanium implant surface treatment that utilises the CAV effect has been developed and demonstrates superior biocompatibility and ability to promote osteogenesis and immunomodulation compared with conventional surface treatment methods.

Significance

The CAV titanium surface treatment offers distinct advantages over SLA surface treatment, including superior osteogenic and immunomodulatory potential, along with a simpler and more environmentally friendly manufacturing process. These benefits establish CAV as a promising new strategy for enhancing titanium implant surfaces.
目的:钛种植体表面处理可以改善种植体的骨整合,减少种植体周围炎的发生。该研究提供了一种利用空化(CAV)原理进行表面改性的新方法,该原理可以在微射流作用于表面时产生高温高压。方法:对钛表面进行CAV处理,并与对照组(喷砂、大粒度、酸蚀、SLA)进行比较。测定了钛表面的显微形态和粗糙度,以及对成骨细胞和巨噬细胞生物相容性的影响。结果:与SLA表面相比,CAV处理后表面形成了典型的CAV凹坑,粗糙度显著增加(p )结论:一种利用CAV效应的创新钛种植体表面处理方法已经开发出来,与传统表面处理方法相比,它具有更好的生物相容性和促进成骨和免疫调节的能力。意义:与SLA表面处理相比,CAV钛表面处理具有明显的优势,包括优越的成骨和免疫调节潜力,以及更简单、更环保的制造工艺。这些优点使CAV成为增强钛种植体表面的有前途的新策略。
{"title":"Cavitation erosion: An efficient method for promoting osteogenesis and immunomodulation of titanium surface","authors":"Muqi Jiang ,&nbsp;Yasheng Sun ,&nbsp;Zhixiang Nie ,&nbsp;William M. Palin ,&nbsp;Lihua Qian ,&nbsp;Jukka P. Matinlinna ,&nbsp;Li Hu ,&nbsp;Zhen Zhang","doi":"10.1016/j.dental.2025.07.017","DOIUrl":"10.1016/j.dental.2025.07.017","url":null,"abstract":"<div><h3>Objectives</h3><div>Surface treatments of titanium dental implants can improve osseointegration and reduce the incidence of peri-implantitis. This study provides a new approach for surface modification by utilizing the principle of cavitation(CAV), which can generate high temperature and pressure with micro-jets acting on the surface.</div></div><div><h3>Methods</h3><div>Titanium surfaces were treated by CAV, and compared with a control group (sandblasted, large grit, and acid-etched, SLA). The microscopic morphology and roughness of the titanium surfaces, as well as their effect on osteoblast and macrophage biocompatibility were measured.</div></div><div><h3>Results</h3><div>Characteristic CAV pits were formed on the surface following CAV treatment, and roughness was significantly increased compared to the SLA surface (p &lt; 0.05). The CAV treatment not only promoted adhesion, proliferation, and osteogenic differentiation of osteoblasts more effectively than SLA, but also facilitated the polarization of macrophages towards an anti-inflammatory phenotype.</div></div><div><h3>Conclusions</h3><div>An innovative titanium implant surface treatment that utilises the CAV effect has been developed and demonstrates superior biocompatibility and ability to promote osteogenesis and immunomodulation compared with conventional surface treatment methods.</div></div><div><h3>Significance</h3><div>The CAV titanium surface treatment offers distinct advantages over SLA surface treatment, including superior osteogenic and immunomodulatory potential, along with a simpler and more environmentally friendly manufacturing process. These benefits establish CAV as a promising new strategy for enhancing titanium implant surfaces.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 11","pages":"Pages 1350-1360"},"PeriodicalIF":6.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Engineering quantum carbon dots unveiling quantum wave entanglement wave function on enamel substrate: A relativistic in-vitro study” [Dent. Mater., vol. 41, Issue 5 (2025), Pages 523–535] “揭示珐琅基底上量子波纠缠波函数的工程量子碳点:一项相对论性体外研究”的勘误表[Dent]。板牙。,第41卷,第5期(2025),页523-535]。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.dental.2025.07.019
Umer Daood , Fabian Davamani Amalraj , Kanwardeep Kaur , Ranjeet Ajit Bapat , Liang Lin Seow
{"title":"Corrigendum to “Engineering quantum carbon dots unveiling quantum wave entanglement wave function on enamel substrate: A relativistic in-vitro study” [Dent. Mater., vol. 41, Issue 5 (2025), Pages 523–535]","authors":"Umer Daood ,&nbsp;Fabian Davamani Amalraj ,&nbsp;Kanwardeep Kaur ,&nbsp;Ranjeet Ajit Bapat ,&nbsp;Liang Lin Seow","doi":"10.1016/j.dental.2025.07.019","DOIUrl":"10.1016/j.dental.2025.07.019","url":null,"abstract":"","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 11","pages":"Page 1489"},"PeriodicalIF":6.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced antibacterial activity of plant polyphenol-modified robust polycaprolactone/gelatin electrospun coating on titanium implant 植物多酚改性强效聚己内酯/明胶静电纺丝涂层对钛种植体抗菌活性的增强。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.dental.2025.07.020
Yan Wang , Li Liu , Liyuan Zhou , Huan Cheng , Yifan Li , Anni Wu , Senjeet Sreekissoon , Xiao Chen , Peng Gao , Lei Lu , Zhennan Deng , Jinsong Liu
Postoperative infection significantly increases the risk of failure in titanium (Ti) dental implants. While the local application of antimicrobial agents can effectively mitigate these infections. Electrospinning has gained considerable attention for its ability to produce high-performance nanofibers suitable for localized drug release. Nevertheless, challenges such as weak interfacial bond with Ti surface limits its application as a surface coating strategy. In this study, we developed a novel electrospun coating composed of a plant polyphenol, epigallocatechin gallate (EGCG)-modified polycaprolactone (PCL) and gelatin (Gel), which enhanced its adhesion to the Ti surface through phenol-amine chemistry. This innovative approach significantly enhanced the interfacial bond strength between the nanofibers and the Ti surface, thereby improving the wear resistance of the coating. Additionally, the incorporation of rifampicin (Rif), a broad-spectrum antibiotic, into the EGCG-modified electrospun coating (Ti/NFs-0.5 %EG@Rif) enabled sustained Rif release over 28 days, providing potential long-term antibacterial activity. Both in vitro and in vivo studies demonstrated that the Ti/NFs-0.5 %EG@Rif coating exhibited significantly enhanced antibacterial and anti-inflammatory efficacy, along with excellent biocompatibility. In conclusion, the EGCG-modified electrospun coating represented a promising and cost-effective strategy for enhancing the functionality of Ti implants, with the potential to improve clinical outcomes in dental applications.
术后感染显著增加钛(Ti)牙种植体失败的风险。而局部应用抗菌药物可有效减轻这些感染。静电纺丝技术因其制备适合局部药物释放的高性能纳米纤维的能力而受到广泛关注。然而,与Ti表面的弱界面结合等挑战限制了其作为表面涂层策略的应用。本研究以植物多酚、表没食子儿茶素没食子酸酯(EGCG)修饰聚己内酯(PCL)和明胶(Gel)为原料制备了一种新型电纺丝涂层,通过酚胺化学作用增强了其与Ti表面的粘附性。这种创新的方法显著增强了纳米纤维与Ti表面之间的界面结合强度,从而提高了涂层的耐磨性。此外,将广谱抗生素利福平(Rif)掺入egcg修饰的静电纺丝涂层(Ti/ nf -0.5 %EG@Rif)中,使Rif在28天内持续释放,具有潜在的长期抗菌活性。体外和体内研究表明,Ti/ nf -0.5 %EG@Rif涂层具有显著增强的抗菌和抗炎功效,并具有良好的生物相容性。综上所述,egcg修饰的静电纺丝涂层代表了一种有前景且具有成本效益的策略,可以增强钛种植体的功能,并有可能改善牙科应用的临床结果。
{"title":"Enhanced antibacterial activity of plant polyphenol-modified robust polycaprolactone/gelatin electrospun coating on titanium implant","authors":"Yan Wang ,&nbsp;Li Liu ,&nbsp;Liyuan Zhou ,&nbsp;Huan Cheng ,&nbsp;Yifan Li ,&nbsp;Anni Wu ,&nbsp;Senjeet Sreekissoon ,&nbsp;Xiao Chen ,&nbsp;Peng Gao ,&nbsp;Lei Lu ,&nbsp;Zhennan Deng ,&nbsp;Jinsong Liu","doi":"10.1016/j.dental.2025.07.020","DOIUrl":"10.1016/j.dental.2025.07.020","url":null,"abstract":"<div><div>Postoperative infection significantly increases the risk of failure in titanium (Ti) dental implants. While the local application of antimicrobial agents can effectively mitigate these infections. Electrospinning has gained considerable attention for its ability to produce high-performance nanofibers suitable for localized drug release. Nevertheless, challenges such as weak interfacial bond with Ti surface limits its application as a surface coating strategy. In this study, we developed a novel electrospun coating composed of a plant polyphenol, epigallocatechin gallate (EGCG)-modified polycaprolactone (PCL) and gelatin (Gel), which enhanced its adhesion to the Ti surface through phenol-amine chemistry. This innovative approach significantly enhanced the interfacial bond strength between the nanofibers and the Ti surface, thereby improving the wear resistance of the coating. Additionally, the incorporation of rifampicin (Rif), a broad-spectrum antibiotic, into the EGCG-modified electrospun coating (Ti/NFs-0.5 %EG@Rif) enabled sustained Rif release over 28 days, providing potential long-term antibacterial activity. Both <em>in vitro</em> and <em>in vivo</em> studies demonstrated that the Ti/NFs-0.5 %EG@Rif coating exhibited significantly enhanced antibacterial and anti-inflammatory efficacy, along with excellent biocompatibility. In conclusion, the EGCG-modified electrospun coating represented a promising and cost-effective strategy for enhancing the functionality of Ti implants, with the potential to improve clinical outcomes in dental applications.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 11","pages":"Pages 1361-1375"},"PeriodicalIF":6.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-body fatigue wear resistance of 3D-printed composites evaluated using OCT 利用OCT评价3d打印复合材料的两体疲劳磨损性能。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-08-05 DOI: 10.1016/j.dental.2025.07.014
Fernando Antonio Reis Laurino , Paulo Francisco Cesar , Marcelo Munhóes Romano , André Vicente Ritter , Alireza Sadr

Objectives

This study assessed the wear resistance of 3D-printed CAD/CAM composites using optical coherence tomography (OCT). OCT is a non-destructive and clinically applicable imaging technique that enables real-time and precise measurement of wear volume and subsurface changes without radiation exposure. The 3D-printed composites C&B MFH, VarseoSmile CrownPlus, and Nanolab 3D were compared to the CAD/CAM composite milling block, Lava Ultimate, to determine whether their wear resistance was comparable to or exhibited significantly more significant material loss than the CAD/CAM block under cyclic loading in a chewing simulator.

Methods

Specimens of the three 3D-printed CAD/CAM composites—C&B MFH, VarseoSmile CrownPlus, and Nanolab 3D—were designed as disks, 3D-printed or milled, then cleaned and polished before undergoing cyclic loading in a chewing simulator for 600,000 cycles. OCT analysis was used to measure wear extent and subsurface crack score. Statistical analysis was performed using one-way ANOVA and Kruskal-Wallis tests with post-hoc Bonferroni comparisons.

Results

Significant differences in wear resistance and crack development were observed among the composites. Lava Ultimate and C&B MFH exhibited the highest wear resistance (0.7 ± 0.4 mm³ and 0.7 ± 0.2 mm³), while Nanolab 3D had the lowest and significantly different wear resistance (1.7 ± 0.8 mm³, p = 0.004). VarseoSmile CrownPlus showed intermediate volume loss (1.0 ± 0.7 mm³) with no significant difference from Nanolab 3D (p = 0.2). For vertical wear extent, Lava Ultimate (215.6 ± 40 μm) and C&B MFH (310 ± 107 μm) had significantly lower wear than Nanolab 3D (546 ± 143 μm, p < 0.001), while VarseoSmile CrownPlus (396 ± 131 μm) was not significantly different from Nanolab 3D (p = 0.8). A similar pattern was observed for cracks, with Lava Ultimate showing significantly different from the 3D-printed composites (p < 0.001). Nanolab 3D exhibited the highest crack formation, showing a significant difference compared to all other materials (p < 0.001), while no significant difference was found between C&B MFH and VarseoSmile CrownPlus (p = 0.5).

Significance

In conclusion, the 3D-printed CAD/CAM composites demonstrated varying performance under cyclic loading, comparable or inferior to the CAD/CAM block, with OCT proving useful for evaluating composite wear resistance.
目的:本研究利用光学相干断层扫描(OCT)评估3d打印CAD/CAM复合材料的耐磨性。OCT是一种非破坏性和临床应用的成像技术,可以实时精确地测量磨损量和地下变化,而无需辐射暴露。研究人员将3D打印复合材料C&B MFH、VarseoSmile CrownPlus和Nanolab 3D与CAD/CAM复合磨块Lava Ultimate进行了比较,以确定在咀嚼模拟器的循环加载下,它们的耐磨性是否与CAD/CAM磨块相当,还是表现出更显著的材料损耗。方法:将c&b MFH、VarseoSmile CrownPlus和Nanolab 3d三种3d打印CAD/CAM复合材料的样品设计成圆盘状,进行3d打印或研磨,然后进行清洗和抛光,然后在咀嚼模拟器中进行60万次循环加载。使用OCT分析测量磨损程度和亚表面裂纹评分。统计分析采用单因素方差分析和事后Bonferroni比较的Kruskal-Wallis检验。结果:不同复合材料在耐磨性和裂纹发展方面存在显著差异。熔岩终极、薪酬确定表现出最高的耐磨性(0.7 ±0.4  ³ 毫米和0.7±0.2  mm³),而nonalab 3 d最低和耐磨性明显不同( 1.7±0.8  mm³,p = 0.004)。VarseoSmile CrownPlus显示中等体积损失(1.0 ± 0.7 mm³),与Nanolab 3D无显著差异(p = 0.2)。就垂直磨损程度而言,Lava Ultimate(215.6 ± 40 μm)和C&B MFH(310 ± 107 μm)的磨损程度显著低于Nanolab 3D(546 ± 143 μm, p )。意义:总之,3D打印CAD/CAM复合材料在循环载荷下表现出不同的性能,与CAD/CAM块体相当或不如,OCT被证明可用于评估复合材料的耐磨性。
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引用次数: 0
Effect of thickness and irradiance on the polymerization delay at the bottom surface of light-cured resin composites 厚度和辐照度对光固化树脂复合材料底表面聚合延迟的影响。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-07-31 DOI: 10.1016/j.dental.2025.07.013
Richard B. Price , Alexandre P. Gareau , Brett D. MacNeil , Daniel Labrie , Brian W. Darvell , Frederick A. Rueggeberg , Jeffrey W. Stansbury

Objective

To examine the effects of the resin-based composite (RBC) thickness and incident irradiance on the time delay after the light turns on before polymerization starts at the bottom surface of the RBC.

Methods

The degree of conversion (DC) was determined using Fourier-transform infrared spectroscopy (FT-IR) at a rate of 13 measurements per second. Six commercial RBCs were tested at three thicknesses (0.2, 2 and 4 mm) and four incident irradiance values (472–3985 mW/cm2).

Results

There was a significant time delay before polymerization began at the bottom of each RBC. At 942 mW/cm2, representative of many current LCUs, this delay ranged from 0.12 to 1.11 s at the bottom of 2 mm of RBC. When the thickness was increased to 4 mm, even with an irradiance of 1969 mW/cm2, which represents high-power LCUs, the delay ranged from 0.12 to 5.17 s. The highest irradiance of 3985 mW/cm2 did not fully overcome the inherent lag caused by the thickness of the RBC. At 3985 mW/cm2, PowerFlow and PowerFill had the shortest delay times of 0.09 s and 0.30 s, respectively, at the bottom of a 4 mm thick RBC.

Significance

The presence of a time delay before photo-cured RBCs start to polymerize at the bottom surfaces must now be addressed clinically and when calculating reaction rates.
目的:考察树脂基复合材料(RBC)厚度和入射辐照度对光照后RBC底表面开始聚合前延迟时间的影响。方法:采用傅里叶变换红外光谱(FT-IR)以每秒13次的速率测定转换度(DC)。六种商业红细胞在三种厚度(0.2,2和4 mm)和四种入射辐照度值(472-3985 mW/cm2)下进行了测试。结果:在每个红细胞底部开始聚合前有明显的时间延迟。在942 mW/cm2时,在2 mm的RBC底部,延迟范围为0.12至1.11 s。当厚度增加到4 mm时,即使辐照度为1969 mW/cm2(高功率lcu),延迟也在0.12 ~ 5.17 s之间。3985 mW/cm2的最高辐照度并没有完全克服由RBC厚度引起的固有滞后。在3985 mW/cm2时,在4 mm厚的RBC底部,PowerFlow和PowerFill的延迟时间最短,分别为0.09 s和0.30 s。意义:光固化红细胞在底表面开始聚合之前存在的时间延迟现在必须在临床和计算反应速率时加以解决。
{"title":"Effect of thickness and irradiance on the polymerization delay at the bottom surface of light-cured resin composites","authors":"Richard B. Price ,&nbsp;Alexandre P. Gareau ,&nbsp;Brett D. MacNeil ,&nbsp;Daniel Labrie ,&nbsp;Brian W. Darvell ,&nbsp;Frederick A. Rueggeberg ,&nbsp;Jeffrey W. Stansbury","doi":"10.1016/j.dental.2025.07.013","DOIUrl":"10.1016/j.dental.2025.07.013","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the effects of the resin-based composite (RBC) thickness and incident irradiance on the time delay after the light turns on before polymerization starts at the bottom surface of the RBC.</div></div><div><h3>Methods</h3><div>The degree of conversion (DC) was determined using Fourier-transform infrared spectroscopy (FT-IR) at a rate of 13 measurements per second. Six commercial RBCs were tested at three thicknesses (0.2, 2 and 4 mm) and four incident irradiance values (472–3985 mW/cm<sup>2</sup>).</div></div><div><h3>Results</h3><div>There was a significant time delay before polymerization began at the bottom of each RBC. At 942 mW/cm<sup>2</sup>, representative of many current LCUs, this delay ranged from 0.12 to 1.11 s at the bottom of 2 mm of RBC. When the thickness was increased to 4 mm, even with an irradiance of 1969 mW/cm<sup>2</sup>, which represents high-power LCUs, the delay ranged from 0.12 to 5.17 s. The highest irradiance of 3985 mW/cm<sup>2</sup> did not fully overcome the inherent lag caused by the thickness of the RBC. At 3985 mW/cm<sup>2</sup>, PowerFlow and PowerFill had the shortest delay times of 0.09 s and 0.30 s, respectively, at the bottom of a 4 mm thick RBC.</div></div><div><h3>Significance</h3><div>The presence of a time delay before photo-cured RBCs start to polymerize at the bottom surfaces must now be addressed clinically and when calculating reaction rates.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 10","pages":"Pages 1323-1331"},"PeriodicalIF":6.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assisted mineralization ability of proanthocyanidins in collagen scaffold and dentin 原花青素在胶原支架和牙本质中的辅助矿化能力。
IF 6.3 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-07-25 DOI: 10.1016/j.dental.2025.07.006
Fabiana Almeida Curylofo-Zotti , Odair Bim-Júnior , Ariene Leme-Kraus , Silmara Aparecida Milori Corona , Ana K. Bedran-Russo

Objectives

To assess the potential mechanisms of an enriched Vitis vinifera (Vve) in mediating mineralization using both constituted type-1 collagen scaffolds and dentin matrix substrate.

Methods

An enriched formulation of oligomeric proanthocyanidins - Vve was compared to untreated substrates (C) and glutaraldehyde-treated substrate (GA). Biomineralization protocols included a simulated body fluid - SBF and a Ca-P supersaturated solutions for collagen scaffold and dentin matrix studies, respectively. Analytical methods included mineral content (FTIR), thermal behavior (DSC), crystal formation and Ca/P atomic ratio of crystal-like structure (SEM-EDS and TEM), and Ca2+ concentration (Ca-ISE). Data were statistically analyzed using one-way ANOVA and post-hoc tests (α=0.05).

Results

Untreated and Vve groups showed a higher amount of mineral normalized to the amount of collagen than the GA group (p < 0.007 and p < 0.019 respectively). Untreated and Vve-treated collagen scaffolds exhibited similar cumulative Ca2+ uptake (18.2 and 17.7 µg) and GA-treated scaffold had lower (15.8 µg). After 4 days in SBF solution, the highest endothermic peak was found at 81.4°C for Vve, followed by 78.7°C for GA and 57.6°C for untreated collagen. SEM-EDS analysis showed a well-organized layer of apatite crystals deposited around the collagen fibrils. Vve treatment promoted broad crystal nucleation over fibrils in a collagen scaffold. Unlike the GA-treated group, where fewer and sparsely distributed crystals were found, Vve group exhibited a thick and organized mineral layer over the dentin matrix.

Significance

Biomineralization occurs via a self-assembly process by which apatite crystals are deposited in an orderly fashion over the organic matrices of innate dentin. Vve may assist mineralization by preservation of the nucleation sites over the matrices modulating the rate of formation of apatite crystals.
目的:探讨富集葡萄(Vitis vinifera, Vve)利用构建的1型胶原支架和牙本质基质基质介导矿化的潜在机制。方法:将低聚原花青素- Vve的富集配方与未处理底物(C)和戊二醛处理底物(GA)进行比较。生物矿化方案包括模拟体液- SBF和Ca-P过饱和溶液,分别用于胶原支架和牙本质基质研究。分析方法包括矿物含量(FTIR)、热行为(DSC)、晶体形成和类晶体结构的Ca/P原子比(SEM-EDS和TEM)、Ca2+浓度(Ca- ise)。资料采用单因素方差分析和事后检验进行统计学分析(α=0.05)。结果:未处理组和Vve组与GA组相比,矿物质与胶原蛋白的比例更高(p 2+摄取,分别为18.2和17.7 µg),而GA处理的支架则更低(15.8 µg)。在SBF溶液中放置4天后,Vve的吸热峰值为81.4℃,GA的吸热峰值为78.7℃,未处理胶原的吸热峰值为57.6℃。扫描电镜-能谱分析显示胶原原纤维周围有一层组织良好的磷灰石晶体。Vve处理促进胶原支架中原纤维上的宽晶体成核。与ga处理组不同,在ga处理组中发现较少且稀疏分布的晶体,Vve组在牙本质基质上显示出厚且有组织的矿物层。意义:生物矿化发生在一个自组装过程中,通过这个过程,磷灰石晶体以有序的方式沉积在先天牙本质的有机基质上。Vve可以通过保存基质上的成核位点来帮助矿化,从而调节磷灰石晶体的形成速率。
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Dental Materials
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