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Critical evaluations on the crystallographic properties of translucent dental zirconia ceramics stabilized with 3-6 mol% yttria 对用 3-6 摩尔%的钇稳定的半透明牙科氧化锆陶瓷的晶体学特性进行严格评估。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-27 DOI: 10.1016/j.dental.2024.06.027

Objectives

This study aimed to determine the crystalline phase composition of 3–6 mol% yttria-stabilized zirconia (3–6YSZ), specifically investigating the presence of tetragonal (t), cubic (c), and/or additional yttria-rich tetragonal (t’) phase.

Methods

Laboratory-fabricated specimens comprising 3–5YSZ, resembling translucent dental zirconia ceramics (TZ specimens), and a blend of 3YSZ and 8YSZ, representing a c-phase reference, were prepared. Additionally, 25 dental zirconia products stabilized with 3–6 mol% yttria were analyzed. Whole X-ray diffraction (XRD) patterns were obtained for Rietveld analysis, complemented by fine scanning in the 2θ region from 72º to 76º for qualitative phase analysis. Moreover, yttria concentrations in each specimen were determined using X-ray fluorescence (XRF) spectroscopy.

Results

In the 2θ region from 72º to 76º, TZ and dental zirconia product specimens displayed four peaks attributed to t- and t’-phases, but the c-phase peak was absent. Rietveld analysis of the whole XRD patterns, utilizing a t-t’ model, demonstrated the t-phase fraction ranging from 86 mass% in 3YSZ to 11 mass% in 6YSZ. Rietveld analysis appeared reliable, as the yttria contents calculated based on lattice parameters aligned well with those measured by XRF. This study established that dental 3–6YSZ consisted of yttria-lean t- and yttria-rich t’-phases.

Significance

The present study enhances understanding of the crystalline structure of dental zirconia ceramics. Future crystallographic analyses of these ceramics should consider the presence of t- and t’-phases.

研究目的:本研究旨在确定 3-6 mol% 钇稳定氧化锆(3-6YSZ)的晶相组成,特别是调查是否存在四方相(t)、立方相(c)和/或额外的富钇四方相(t'):实验室制备的试样包括 3-5YSZ(类似半透明牙科氧化锆陶瓷(TZ 试样))和 3YSZ 与 8YSZ 混合物(代表 c 相参考)。此外,还分析了 25 种用 3-6 mol% 的钇稳定的牙科氧化锆产品。获得了用于里特维尔德分析的整体 X 射线衍射 (XRD) 图样,并在 72º 至 76º 的 2θ 区域进行了精细扫描,以进行定性相分析。此外,还利用 X 射线荧光 (XRF) 光谱测定了每个试样中的钇浓度:结果:在 72º 至 76º 的 2θ 区域,TZ 和牙科用氧化锆产品试样显示出四个 t 相和 t'相峰,但没有 c 相峰。利用 t-t' 模型对整个 XRD 图样进行的里特维尔德分析表明,t 相分数从 3YSZ 中的 86 质量%到 6YSZ 中的 11 质量%不等。根据晶格参数计算出的钇含量与 XRF 测得的钇含量非常吻合,因此里特维尔德分析法是可靠的。这项研究确定了牙科 3-6YSZ 由无钇 t 相和富钇 t'- 相组成:本研究加深了人们对牙科氧化锆陶瓷晶体结构的了解。今后对这些陶瓷进行晶体学分析时应考虑 t 相和 t'相的存在。
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引用次数: 0
A tricalcium phosphate (TCP) and hydroxyapatite (HA) based light-cured biomaterial for vital pulp therapy 一种基于磷酸三钙(TCP)和羟基磷灰石(HA)的光固化生物材料,用于牙髓治疗。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-26 DOI: 10.1016/j.dental.2024.06.009

Objectives

Evaluate a new light-cured material with better properties for vital pulp therapy.

Methods

Light-cured resin materials consisted of polyethylene glycol (600) diacrylate mixed with different ratios of TCP to HA. In addition to the temperature change (n = 5 for each subgroup) were tested, cell viability and Alizarin Red Staining (ARS) assay were also tested in vitro on human dental pulp cells (n = 6 for each subgroup). Lastly, the material was then compared with Biodentine and control groups in the molars of Wistar rats in vivo for histology assessment.

Results

The temperature change for the new materials were under 5 degrees Celsius. For the in vitro assessments, there was no significant difference on day 3 and day 7 for cell viability test. ARS assay showed significantly higher mineralized nodule formation when treated without induction medium for Group D and Biodentine on day 10 compared to Group C and control. On the contrary, Biodentine and control groups treated with induction medium showed significant higher mineralization than the new materials. Histology assessments demonstrated higher mineralized content in Group D and Biodentine on week 3 and week 6. The inflammatory cells in the dental pulp complex of the Biodentine group resolved on week 6 while the inflammation resolved in Group D on week 3.

Significance

The new material exhibits low heat production, low cytotoxicity, and good calcium ion release capability. Compared to traditional materials, it has shorter setting time and better aesthetic outcomes, making it highly suitable for use in vital pulp therapy.

目的评估一种性能更好的新型光固化材料,用于牙髓治疗:光固化树脂材料由聚乙二醇(600)二丙烯酸酯与不同比例的 TCP 和 HA 混合组成。除了测试温度变化(每个子组 5 个)外,还对人牙髓细胞(每个子组 6 个)进行了细胞活力和茜素红染色(ARS)体外测试。最后,在 Wistar 大鼠的臼齿中将材料与 Biodentine 和对照组进行体内比较,以进行组织学评估:结果:新材料的温度变化低于 5 摄氏度。在体外评估中,第 3 天和第 7 天的细胞存活率测试没有明显差异。ARS 检测显示,与 C 组和对照组相比,D 组和 Biodentine 在第 10 天不使用诱导培养基处理时,矿化结核形成率明显更高。相反,使用诱导培养基处理的 Biodentine 组和对照组的矿化度明显高于新材料组。组织学评估显示,D 组和 Biodentine 在第 3 周和第 6 周的矿化含量更高。Biodentine 组牙髓复合体中的炎症细胞在第 6 周消退,而 D 组的炎症在第 3 周消退:意义:新材料产热低、细胞毒性低、钙离子释放能力强。与传统材料相比,它的固化时间更短,美观效果更好,非常适合用于牙髓治疗。
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引用次数: 0
An in vitro evaluation of the fatigue behavior of resin composite materials as part of a translational research cycle 作为转化研究周期的一部分,对树脂复合材料的疲劳行为进行体外评估。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-25 DOI: 10.1016/j.dental.2024.06.010

Purpose

This study aimed to reproduce and translate clinical presentations in an in vitro set-up and evaluate laboratory outcomes of mechanical properties (flexural strength, fatigue resistance, wear resistance) and link them to the clinical outcomes of the employed materials in the Radboud Tooth Wear Project (RTWP).

Materials and methods

Four dental resin composites were selected. 30 discs (Ø12.0 mm, 1.2 mm thick) were fabricated for each of Clearfil TM AP-X (AP), Filtek TM Supreme XTE (FS), Estenia TM C&B (ES), and Lava Ultimate (LU). Cyclic loading (200 N, 2 Hz frequency) was applied concentrically to 15 specimens per group with a spherical steatite indenter (r = 3.18 mm) in water in a contact-load-slide-liftoff motion (105 cycles). The wear scar was analysed using profilometry and the volume loss was digitally computed. Finally, all specimens were loaded (fatigued specimens with their worn surface loaded in tension) until fracture in a biaxial flexure apparatus. The differences in volume loss and flexural strength were determined using regression analysis.

Results

Compared to AP and FS, ES and LU showed a significantly lower volume loss (p < 0.05). Non-fatigued ES specimens had a similar flexural strength compared to nonfatigued AP, while non-fatigued FS and LU specimens had a lower flexural strength (p < 0.001; 95 %CI: −80.0 – 51.8). The fatigue test resulted in a significant decrease of the flexural strength of ES specimens, only (p < 0.001; 95 %CI: −96.1 – −54.6).

Clinical relevance

These outcomes concur with the outcomes of clinical studies on the longevity of these composites in patients with tooth wear. Therefore, the employed laboratory test seems to have the potential to test materials in a clinically relevant way.

目的:本研究旨在体外设置中再现和转化临床表现,评估力学性能(抗弯强度、抗疲劳性、耐磨性)的实验室结果,并将其与拉德布德牙齿磨损项目(RTWP)中所使用材料的临床结果联系起来:材料和方法:选择了四种牙科树脂复合材料。为 Clearfil TM AP-X (AP)、Filtek TM Supreme XTE (FS)、Estenia TM C&B (ES) 和 Lava Ultimate (LU) 各制作了 30 个圆盘(直径 12.0 毫米,厚 1.2 毫米)。用球形硬质合金压头(r = 3.18 毫米)在水中以接触-加载-滑动-松开的运动方式对每组 15 个试样同心施加循环加载(200 牛顿,频率 2 赫兹)(105 个循环)。使用轮廓仪对磨损疤痕进行分析,并对体积损失进行数字计算。最后,所有试样都在双轴挠曲仪中加载(疲劳试样的磨损表面在拉力作用下加载)直至断裂。通过回归分析确定了体积损失和抗弯强度的差异:结果:与 AP 和 FS 相比,ES 和 LU 的体积损失明显较低(p 临床相关性):这些结果与关于这些复合材料在牙齿磨损患者中的使用寿命的临床研究结果一致。因此,所采用的实验室测试似乎有可能以与临床相关的方式对材料进行测试。
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引用次数: 0
A comparative study on the mechanical and antibacterial properties of BPA-free dental resin composites 不含双酚 A 的牙科树脂复合材料的机械和抗菌性能比较研究。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-25 DOI: 10.1016/j.dental.2024.06.024

Objective

The commonly used base monomer utilized in resinous commercial dental restorative products is bis-GMA which is derived from bisphenol-A (BPA) - a well-known compound which may disrupt endocrine functions. To address concerns about its leaching into the oral environment and to optimize the quality of dental composites, a BPA-free alternative base monomer, fluorinated urethane dimethacrylate (FUDMA), was designed by modifying a UDMA monomer system.

Methods

Nine groups of composites were prepared by mixing the base monomers and TEGDMA in a ratio of 70/30 wt% to which were added silanized glass particles (mean diameter: 0.7 µm) in 3 different volume fractions (40, 45, and 50 vol%). Bis-GMA and UDMA base monomers were used as control groups in the same ratios. Various properties including degree of conversion (DC), flexural strength (FS) and flexural modulus (FM), water sorption (WS), solubility (SL), surface hardness and roughness, and initial adhesion property against S.mutans were investigated. One-way analysis of variance followed by Bonferroni test at α = 0.05 was used to analyze the results.

Results

A significant difference in FS between FUDMA-based composite with 40 vol% filler (120.3 ± 10.4 MPa) and Bis-GMA-based composite with the same filler fraction (105.8 ± 10.0 MPa) was observed but there was no significant difference among other groups. The UDMA based group exhibited the highest WS (1.3 ± 0.3 %). Bis-GMA showed greater initial bacterial adhesion but was not statistically different from the other groups (p = 0.082).

Significance

FUDMA-based resin composites exhibit comparable mechanical and bacterial adhesion properties compared with Bis-GMA and UDMA-based composites. The FUDMA composites show positive outcomes indicating they could be used as substitute composites to Bis-GMA-based composites.

目的:树脂类商业牙科修复产品中常用的基础单体是双-GMA,它是从双酚-A(BPA)中提取的,而双酚-A 是一种众所周知的可能干扰内分泌功能的化合物。为了消除人们对双酚 A 浸入口腔环境的担忧,并优化牙科复合材料的质量,我们通过改良 UDMA 单体体系,设计出了一种不含双酚 A 的替代基体单体--氟化聚氨酯二甲基丙烯酸酯 (FUDMA):方法:将基础单体和 TEGDMA 按 70/30 wt% 的比例混合,再加入硅烷化玻璃颗粒(平均直径:0.7 µm),以 3 种不同的体积分数(40、45 和 50vol%)制备出 9 组复合材料。双-GMA 和 UDMA 基础单体以相同的比例用作对照组。对各种特性进行了研究,包括转化率 (DC)、抗弯强度 (FS) 和抗弯模量 (FM)、吸水性 (WS)、溶解性 (SL)、表面硬度和粗糙度以及对 S.mutans 的初始粘附性。采用单因素方差分析和 Bonferroni 检验(α = 0.05)分析结果:结果表明,填充物含量为 40 Vol% 的 FUDMA 基复合材料的 FS 值(120.3 ± 10.4 MPa)与填充物含量相同的 Bis-GMA 基复合材料的 FS 值(105.8 ± 10.0 MPa)之间存在明显差异,但其他组间无明显差异。基于 UDMA 的复合材料组的 WS 值最高(1.3 ± 0.3 %)。Bis-GMA 显示出更大的初始细菌粘附性,但与其他组别相比没有统计学差异(p = 0.082):意义:与 Bis-GMA 和 UDMA 基复合材料相比,FUDMA 基树脂复合材料具有相似的机械性能和细菌粘附性能。FUDMA 复合材料显示出积极的结果,表明它们可用作双 GMA 基复合材料的替代复合材料。
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引用次数: 0
Achieving property enhancements in dental resin composites via reduced concentrations of camphorquinone within a ternary initiator system 通过降低三元引发剂体系中樟脑醌的浓度来提高牙科树脂复合材料的性能。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-22 DOI: 10.1016/j.dental.2024.06.022

Objectives

The study aimed to assess the impact of diphenyliodonium hexafluorophosphate (DPI) on the physicochemical properties of experimental resin composites (ECRs) featuring reduced concentrations of camphorquinone (CQ)/amine.

Methods

Five concentrations of CQ (0.125, 0.25, 0.5, 0.75, and 1 mol%) with dimethylaminoethyl amine benzoate (EDAB) in a 1:2 mol% ratio (CQ:EDAB) were incorporated into a 50:50 mass% monomer blend of bisphenol glycidyl methacrylate (BisGMA) and triethyleneglycol dimethacrylate (TEGDMA). An additional 5 groups with the same CQ:EDAB concentrations had 0.5 mol% DPI added. Each resin group contained 60 wt% of 0.7 µm barium-alumino-silicate glass. Light transmission (n = 3), real-time degree of polymerization (n = 3), temperature change during polymerization (n = 5), polymerization shrinkage strain (n = 3), flexural strength, and modulus (n = 12), as well as water sorption and solubility (n = 5), were evaluated. Data were analyzed using two-way ANOVA and Tukey's post-hoc test (α = 0.05).

Results

Light transmission was reduced in groups containing 0.125 and 0.25 mol% of CQ without DPI. DPI increased temperature, degree and rate of polymerization, despite the reduction in CQ/amine concentration. Additionally, there was an increase in polymerization shrinkage strain, flexural strength and modulus, and a reduction in water sorption and solubility in ECRs with DPI, even with lower concentrations of CQ/EDAB.

Significance

DPI improved the assessed properties of composites across various concentrations of CQ/EDAB, showing the benefit of reducing the quantity of CQ used without compromising the properties and curing of the resin composites.

研究目的本研究旨在评估二苯基碘鎓六氟磷酸盐(DPI)对樟脑醌(CQ)/胺浓度降低的实验树脂复合材料(ECR)理化性质的影响:在双酚缩水甘油醚甲基丙烯酸酯(BisGMA)和三乙二醇二甲基丙烯酸酯(TEGDMA)质量比为 50:50 的单体混合物中加入了五种浓度的 CQ(0.125、0.25、0.5、0.75 和 1 摩尔%)和二甲基氨基乙基胺苯甲酸酯(EDAB),其比例为 1:2 摩尔%(CQ:EDAB)。另外 5 组 CQ:EDAB 浓度相同,但添加了 0.5 摩尔%的 DPI。每组树脂都含有 60 wt% 的 0.7 µm 硅酸铝钡玻璃。对透光率(n = 3)、实时聚合度(n = 3)、聚合过程中的温度变化(n = 5)、聚合收缩应变(n = 3)、弯曲强度和模量(n = 12)以及吸水性和溶解性(n = 5)进行了评估。数据采用双向方差分析和 Tukey 事后检验(α = 0.05)进行分析:结果:在不含 DPI 的情况下,含 0.125 和 0.25 mol% CQ 的组透光率降低。尽管 CQ/amine 浓度降低,但 DPI 提高了聚合的温度、程度和速率。此外,即使 CQ/EDAB 的浓度较低,添加了 DPI 的 ECR 的聚合收缩应变、弯曲强度和模量也有所增加,吸水性和溶解性也有所降低:DPI改善了不同浓度CQ/EDAB复合材料的评估性能,显示了减少CQ用量而不影响树脂复合材料性能和固化的好处。
{"title":"Achieving property enhancements in dental resin composites via reduced concentrations of camphorquinone within a ternary initiator system","authors":"","doi":"10.1016/j.dental.2024.06.022","DOIUrl":"10.1016/j.dental.2024.06.022","url":null,"abstract":"<div><h3>Objectives</h3><p>The study aimed to assess the impact of diphenyliodonium hexafluorophosphate (DPI) on the physicochemical properties of experimental resin composites (ECRs) featuring reduced concentrations of camphorquinone (CQ)/amine.</p></div><div><h3>Methods</h3><p>Five concentrations of CQ (0.125, 0.25, 0.5, 0.75, and 1 mol%) with dimethylaminoethyl amine benzoate (EDAB) in a 1:2 mol% ratio (CQ:EDAB) were incorporated into a 50:50 mass% monomer blend of bisphenol glycidyl methacrylate (BisGMA) and triethyleneglycol dimethacrylate (TEGDMA). An additional 5 groups with the same CQ:EDAB concentrations had 0.5 mol% DPI added. Each resin group contained 60 wt% of 0.7 µm barium-alumino-silicate glass. Light transmission (n = 3), real-time degree of polymerization (n = 3), temperature change during polymerization (n = 5), polymerization shrinkage strain (n = 3), flexural strength, and modulus (n = 12), as well as water sorption and solubility (n = 5), were evaluated. Data were analyzed using two-way ANOVA and Tukey's post-hoc test (α = 0.05).</p></div><div><h3>Results</h3><p>Light transmission was reduced in groups containing 0.125 and 0.25 mol% of CQ without DPI. DPI increased temperature, degree and rate of polymerization, despite the reduction in CQ/amine concentration. Additionally, there was an increase in polymerization shrinkage strain, flexural strength and modulus, and a reduction in water sorption and solubility in ECRs with DPI, even with lower concentrations of CQ/EDAB.</p></div><div><h3>Significance</h3><p>DPI improved the assessed properties of composites across various concentrations of CQ/EDAB, showing the benefit of reducing the quantity of CQ used without compromising the properties and curing of the resin composites.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 9","pages":"Pages 1400-1408"},"PeriodicalIF":4.6,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124001775/pdfft?md5=2ed1510fa690428fd841db0b4752c9e2&pid=1-s2.0-S0109564124001775-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Silicon impacts collagen remodelling and mineralization by human dental pulp stem cells in 3D pulp-like matrices 硅影响三维牙髓样基质中人牙髓干细胞的胶原重塑和矿化。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-21 DOI: 10.1016/j.dental.2024.06.021

Objectives

Silicon-releasing biomaterials are widely used in the field of dentistry. However, unlike bone, very little is known about the role of silicon on dental tissue formation and repair. This study investigates the influence of silicic acid on the survival, differentiation and mineralizing ability of human dental pulp stem cells (hDPSCs) in 3D pulp-like environments

Methods

Dense type I collagen hydrogels seeded with hDPSCs were cultured over 4 weeks in the presence of silicic acid at physiological (10 μM) and supraphysiological (100 μM) concentrations. Cell viability and proliferation were studied by Alamar Blue and live/dead staining. The collagen network was investigated using second harmonic generation imaging. Mineral deposition was monitored by histology and scanning electron microscopy. Gene expression of mineralization- and matrix remodeling-associated proteins was studied by qPCR.

Results

Presence of silicic acid did not show any significant influence on cell survival, metabolic activity and gene expression of key mineralization-related proteins (ALP, OCN, BSP). However, it induced enhanced cell clustering and delayed expression of matrix remodeling-associated proteins (MMP13, Col I). OPN expression and mineral deposition were inhibited at 100 μM. It could be inferred that silicic acid has no direct cellular effect but rather interacts with the collagen network, leading to a modification of the cell-matrix interface.

Significance

Our results offer advanced insights on the possible role of silicic acid, as released by pulp capping calcium silicates biomaterials, in reparative dentine formation. More globally, these results interrogate the possible role of Si in pulp pathophysiology.

目的:硅释放生物材料被广泛应用于牙科领域。然而,与骨骼不同,人们对硅在牙科组织形成和修复中的作用知之甚少。本研究调查了硅酸对三维类牙髓环境中人牙髓干细胞(hDPSCs)的存活、分化和矿化能力的影响 方法:在生理浓度(10 μM)和超生理浓度(100 μM)的硅酸存在下,用致密 I 型胶原水凝胶播种 hDPSCs,培养 4 周。细胞活力和增殖通过阿拉玛蓝和活体/死体染色法进行研究。使用二次谐波发生成像技术研究了胶原蛋白网络。通过组织学和扫描电子显微镜监测矿物质沉积。通过 qPCR 研究了矿化和基质重塑相关蛋白的基因表达:结果:硅酸的存在对细胞存活、代谢活性和关键矿化相关蛋白(ALP、OCN、BSP)的基因表达没有明显影响。然而,硅酸会增强细胞集群,延迟基质重塑相关蛋白(MMP13、Col I)的表达。OPN 的表达和矿物质沉积在 100 μM 时受到抑制。可以推断,硅酸对细胞没有直接作用,而是与胶原网络相互作用,导致细胞-基质界面的改变:我们的研究结果为牙髓覆盖硅酸钙生物材料释放的硅酸在修复性牙本质形成过程中可能发挥的作用提供了先进的见解。更广泛地说,这些结果探讨了硅在牙髓病理生理学中可能扮演的角色。
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引用次数: 0
Performance of low shrinkage Bis-EFMA based bulk-fill dental resin composites 基于 Bis-EFMA 的低收缩散装填充牙科树脂复合材料的性能。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-20 DOI: 10.1016/j.dental.2024.06.025

Objectives

The purpose of this study was evaluating the performance of new Bis-EFMA based bulk-fill composites with common methacrylate based composites and commercial dental composites.

Methods

The Bis-EFMA monomer was synthesized and the novel Bis-EFMA based bulk-fill composites were prepared. The resin composite samples were co-cultured with human gingival epithelial cells and human dental pulp stem cells to test the biocompatibility. The edge adaptation was observed under a combination of stereoscope and scanning electron microscope. The internal hardness was measured using a Vickers microhardness tester after one-time filling of cavities prepared in extracted teeth. After friction and wear test on the surface of the resin composites, the surface morphology and volume wear of each group were measured by the optical profilometer. The color stability was measured by a colorimeter.

Results

Direct contact with human gingival epithelial cells and human dental pulp stem cells did not cause significant changes in their growth density and morphology, indicating good biocompatibility of Bis-EFMA group (p > 0.05). The continuous margin proportion of the Bis-EFMA group was as good as commercial bulk-fill composites (p > 0.05). The sectional microhardness results showed that the Bis-EFMA group had the highest microhardness. After the friction and wear test, the volume wear of the Bis-EFMA group was minimal, indicating its good wear resistance and mechanical strength. Color changes in all resin groups after 28 days of immersion were within the clinically acceptable range.

Significance

The addition of Bis-EFMA demonstrated excellent biocompatibility, edge adaptation and color stability comparable to commonly used clinical bulk-fill composites, along with preferable mechanical strength, friction and wear resistance. Bis-EFMA based bulk-fill composites have the potential to be employed as a bulk filling material in commercial dental composite applications.

研究目的本研究的目的是评估基于 Bis-EFMA 的新型填充复合材料与基于普通甲基丙烯酸酯的复合材料和商用牙科复合材料的性能:合成了双-EFMA单体,并制备了新型双-EFMA基填充复合材料。用人牙龈上皮细胞和人牙髓干细胞共同培养树脂复合材料样品,以测试其生物相容性。在立体镜和扫描电子显微镜下观察边缘适应性。使用维氏硬度计测量了一次性填充拔牙龋洞后的内部硬度。在对树脂复合材料表面进行摩擦和磨损测试后,用光学轮廓仪测量了各组的表面形态和体积磨损。用色度计测量颜色稳定性:与人牙龈上皮细胞和人牙髓干细胞直接接触不会导致其生长密度和形态发生显著变化,这表明双-EFMA 组具有良好的生物相容性(p > 0.05)。Bis-EFMA 组的连续边缘比例与商业填充复合材料相当(p > 0.05)。断面显微硬度结果显示,Bis-EFMA 组的显微硬度最高。经过摩擦磨损测试,Bis-EFMA 组的体积磨损极小,表明其具有良好的耐磨性和机械强度。浸泡 28 天后,所有树脂组的颜色变化都在临床可接受的范围内:加入 Bis-EFMA 后,其生物相容性、边缘适应性和颜色稳定性都非常出色,可与临床常用的散装填充复合材料媲美,同时机械强度、摩擦性和耐磨性也更佳。基于 Bis-EFMA 的块状填充复合材料有可能被用作商业牙科复合材料应用中的块状填充材料。
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引用次数: 0
The effects of monomer type, filler size, and filler content of three resin cements on the color stability of laminate veneers exposed to accelerated aging 三种树脂胶合剂的单体类型、填料大小和填料含量对暴露于加速老化的层压贴面颜色稳定性的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-19 DOI: 10.1016/j.dental.2024.06.001

Statement of problem

Commercially available resin cements consist of various filler sizes, filler content and monomers, and it is unclear which of these factors have the greatest effect on the color stability of laminate veneers.

Objectives

To evaluate the color stability of lithium disilicate-reinforced laminate veneers inserted with three commercial resin cements with various filler sizes/contents and monomers upon accelerated aging.

Methods

Veneers were fabricated and cemented on resin abutments using three commercially available resin cements comprised of two different monomers and varying filler sizes/contents: 1) triethylene glycol dimethacrylate, TEGDMA (RelyX™ Veneer = 0.6 µm/66 %, Calibra® Esthetic Light Cure =1.2 µm/65 %); and 2) urethane dimethacrylate, UDMA (Variolink Esthetic LC = 0.1 µm/38 %). A total of 60 specimens were fabricated (n = 20 for each cement). The relative number of particles (N) and relative surface area (A) were calculated for each filler size/content. Color coordinates (L*, a*, b*) were measured, and color change (ΔE00) was calculated after cementation and following aging at 150, 300, 450, and 600 h using xenon light. Differences in color coordinates and color change were determined using repeated measures ANOVA followed by Tukey's post hoc test (α = .05). A post-hoc power analysis was performed to confirm reliability of the results.

Results

Based on a post-hoc power analysis of a repeated measures ANOVA with two between-factors and 1 within-factor, we had 89 % power to detect a difference of effect by cement type, 10 % power to detect a difference by shade, and 100 % power to detect a difference of effect by aging. The UDMA-based cement (0.1 µm/38 %) was least affected by aging, despite having the largest number of particles (N = 1010) and largest particle surface area (A = 7.02). The TEGDMA-based cements exhibited a significant color change, with 0.6 µm/66 % (A = 2.03, N = 8.12) producing a larger ΔE00 than 1.2 µm/65 % (A = 1.00, N = 1.00).

Conclusions

Among the commercial cements tested, UDMA-based resin (0.1 µm/38 %) provided better color stability than TEGDMA-based resin cements. The color change after aging was affected by the relative surface area and relative number of particles for the TEGDMA-based resin cement (0.6 µm/66 % and 1.2 µm/65 %), with a larger surface area and a higher relative number of particles, accelerated color change with aging. The present study demonstrates a novel approach to determine color stability for any resin cement with particulate filler.

Clinical implications

The dental practitioner should be selective in choosing a commercial light cure cementation product for laminate veneers, as UDMA containing resin cement is more resistant to color changes over time than TEGDMA, regardless of the filler size/content.

问题陈述:市面上的树脂胶结物由各种填料大小、填料含量和单体组成,目前还不清楚这些因素中哪一个对层压饰面的颜色稳定性影响最大:目的:评估使用三种不同填料大小/含量和单体的商用树脂粘接剂粘接的二硅酸锂强化层压饰面在加速老化后的颜色稳定性:使用三种市售树脂水门汀(由两种不同的单体和不同大小/含量的填料组成)制作贴面并将其粘结在树脂基台上:1) 三甘醇二甲基丙烯酸酯,TEGDMA(RelyX™ Veneer = 0.6 µm/66 %,Calibra® Esthetic Light Cure = 1.2 µm/65 %);和 2) 聚氨酯二甲基丙烯酸酯,UDMA(Variolink Esthetic LC = 0.1 µm/38%)。总共制作了 60 个试样(每种粘合剂 n = 20)。计算了每种填料尺寸/含量的相对颗粒数(N)和相对表面积(A)。测量色坐标(L*、a*、b*),并计算胶结后以及使用氙灯老化 150、300、450 和 600 小时后的颜色变化(ΔE00)。使用重复测量方差分析和 Tukey 后检验(α = .05)确定色坐标和颜色变化的差异。为了确认结果的可靠性,还进行了事后功率分析:根据具有两个因素间和一个因素内的重复测量方差分析的事后功率分析,我们有89%的功率来检测水泥类型的效应差异,10%的功率来检测荫蔽度的差异,100%的功率来检测龄期的效应差异。基于 UDMA 的水泥(0.1 µm/38 %)受老化的影响最小,尽管其颗粒数量最多(N = 1010),颗粒表面积最大(A = 7.02)。基于 TEGDMA 的水门汀显示出显著的颜色变化,0.6 µm/66 %(A = 2.03,N = 8.12)比 1.2 µm/65 %(A = 1.00,N = 1.00)产生更大的ΔE00:在测试的商用水门汀中,UDMA 树脂(0.1 µm/38 %)比 TEGDMA 树脂水门汀具有更好的颜色稳定性。老化后的颜色变化受 TEGDMA 树脂水门汀(0.6 µm/66 % 和 1.2 µm/65 %)的相对表面积和相对颗粒数的影响,表面积越大、相对颗粒数越多,老化后的颜色变化越快。本研究展示了一种新方法,可用于确定任何含有微粒填料的树脂胶合剂的颜色稳定性:临床意义:牙科医生在选择用于层压贴面的商业光固化粘结产品时应有所选择,因为无论填料的大小/含量如何,含有 UDMA 的树脂粘结剂都比 TEGDMA 更不易随时间发生颜色变化。
{"title":"The effects of monomer type, filler size, and filler content of three resin cements on the color stability of laminate veneers exposed to accelerated aging","authors":"","doi":"10.1016/j.dental.2024.06.001","DOIUrl":"10.1016/j.dental.2024.06.001","url":null,"abstract":"<div><h3>Statement of problem</h3><p>Commercially available resin cements consist of various filler sizes, filler content and monomers, and it is unclear which of these factors have the greatest effect on the color stability of laminate veneers.</p></div><div><h3>Objectives</h3><p>To evaluate the color stability of lithium disilicate-reinforced laminate veneers inserted with three commercial resin cements with various filler sizes/contents and monomers upon accelerated aging.</p></div><div><h3>Methods</h3><p>Veneers were fabricated and cemented on resin abutments using three commercially available resin cements comprised of two different monomers and varying filler sizes/contents: 1) triethylene glycol dimethacrylate, TEGDMA (RelyX™ Veneer = 0.6 µm/66 %, Calibra® Esthetic Light Cure =1.2 µm/65 %); and 2) urethane dimethacrylate, UDMA (Variolink Esthetic LC = 0.1 µm/38 %). A total of 60 specimens were fabricated (n = 20 for each cement). The relative number of particles (N) and relative surface area (A) were calculated for each filler size/content. Color coordinates (L*, a*, b*) were measured, and color change (ΔE<sub>00</sub>) was calculated after cementation and following aging at 150, 300, 450, and 600 h using xenon light. Differences in color coordinates and color change were determined using repeated measures ANOVA followed by Tukey's post hoc test (α = .05). A post-hoc power analysis was performed to confirm reliability of the results.</p></div><div><h3>Results</h3><p>Based on a post-hoc power analysis of a repeated measures ANOVA with two between-factors and 1 within-factor, we had 89 % power to detect a difference of effect by cement type, 10 % power to detect a difference by shade, and 100 % power to detect a difference of effect by aging. The UDMA-based cement (0.1 µm/38 %) was least affected by aging, despite having the largest number of particles (N = 1010) and largest particle surface area (A = 7.02). The TEGDMA-based cements exhibited a significant color change, with 0.6 µm/66 % (A = 2.03, N = 8.12) producing a larger ΔE<sub>00</sub> than 1.2 µm/65 % (A = 1.00, N = 1.00).</p></div><div><h3>Conclusions</h3><p>Among the commercial cements tested, UDMA-based resin (0.1 µm/38 %) provided better color stability than TEGDMA-based resin cements. The color change after aging was affected by the relative surface area and relative number of particles for the TEGDMA-based resin cement (0.6 µm/66 % and 1.2 µm/65 %), with a larger surface area and a higher relative number of particles, accelerated color change with aging. The present study demonstrates a novel approach to determine color stability for any resin cement with particulate filler.</p></div><div><h3>Clinical implications</h3><p>The dental practitioner should be selective in choosing a commercial light cure cementation product for laminate veneers, as UDMA containing resin cement is more resistant to color changes over time than TEGDMA, regardless of the filler size/content.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 8","pages":"Pages e23-e30"},"PeriodicalIF":4.6,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431002","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
Permeability of triamcinolone acetonide, released from mucoadhesive films, through a buccal mucosa-mimetic barrier: Permeapad™ 粘液黏附性薄膜释放的曲安奈德通过口腔粘膜模拟屏障的渗透性:Permeapad™.
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-19 DOI: 10.1016/j.dental.2024.06.016

Objectives

The permeability of triamcinolone acetonide (TA), from bilayer mucoadhesive buccal films, through a biomimetic membrane, Permeapad™, was investigated employing Franz diffusion cell. The delivery systems composition and ethyl cellulose (EC) backing layer, on drug permeability, were assessed.

Methods

Three TA-loaded films were tested; hydroxypropyl methylcellulose (HPMC K4M; bilayer [F1] and monolayer), HPMC K4M/Polyvinylpyrrolidone (PVP): 90/10 [F2], and HPMC K15M film [F3]. All films contained propylene glycol (PG-plasticiser). TA solution alone was used as a control. TA permeability via a Permeapad™ barrier, simulating buccal mucosa, was assessed over 8 h using a Franz diffusion cell. TA permeated into the receptor compartment, released in the donor compartment, and located on/within the Permeapad™ barrier were analysed using UV-spectrophotometer.

Results

45.7 % drug retention within the Permeapad™ barrier was delivered from F1 (highest). F1, F2, and F3 significantly improved the TA’s permeability through Permeapad™, compared to TA solution alone (e.g., 8.5 % TA-solution, 21.5 %-F1), attributed to the synergy effect of HPMC and propylene glycol acting as penetration enhancers. F1 displayed a significant increase in drug permeability (receptor compartment; 21.5 %) compared to F3 (17.0 %). PVP significantly enhanced drug permeability (27.5 %). Impermeable EC backing layer controlled unidirectional drug release and reduced drug loss into the donor compartment (e.g., ∼28 % for monolayer film to ∼10 % for bilayer film, F1).

Significance

The mucoadhesive films demonstrated improved TA permeability via Permeapad™. The findings suggest that these bilayer mucoadhesive films, particularly F1, hold promise for the effective topical treatment of oral mucosa disorders, such as recurrent aphthous stomatitis and oral lichen planus.

目的:采用弗朗兹扩散池研究了双层粘液黏附颊黏膜中曲安奈德(TA)通过仿生膜 Permeapad™ 的渗透性。评估了给药系统成分和乙基纤维素(EC)背衬层对药物渗透性的影响:测试了三种负载 TA 的薄膜:羟丙基甲基纤维素(HPMC K4M;双层[F1]和单层)、HPMC K4M/聚乙烯吡咯烷酮(PVP):90/10[F2]和 HPMC K15M 薄膜[F3]。所有薄膜都含有丙二醇(PG-增塑剂)。仅使用 TA 溶液作为对照。使用弗朗兹扩散池对 TA 通过 Permeapad™ 屏障(模拟口腔粘膜)的渗透性进行了 8 小时的评估。使用紫外分光光度计分析 TA 在受体区的渗透性、在供体区的释放性以及在 Permeapad™ 屏障上/内的位置:结果:F1(最高)在 Permeapad™ 屏障内的药物保留率为 45.7%。与单独的 TA 溶液相比,F1、F2 和 F3 显著提高了 TA 在 Permeapad™ 中的渗透性(例如,TA 溶液为 8.5%,F1 为 21.5%),这归因于 HPMC 和丙二醇作为渗透促进剂的协同效应。与 F3(17.0%)相比,F1 的药物渗透性(受体区;21.5%)明显提高。PVP 可明显提高药物渗透性(27.5%)。不透水的导电乙烯背层控制了药物的单向释放,减少了进入供体区的药物流失(例如,单层膜的药物流失率为 28%,而双层膜 F1 的药物流失率为 10%):意义:通过 Permeapad™,粘液黏附膜显示出更高的 TA 渗透性。研究结果表明,这些双层粘液黏附膜,尤其是 F1,有望有效地局部治疗口腔粘膜疾病,如复发性口腔炎和口腔扁平苔藓。
{"title":"Permeability of triamcinolone acetonide, released from mucoadhesive films, through a buccal mucosa-mimetic barrier: Permeapad™","authors":"","doi":"10.1016/j.dental.2024.06.016","DOIUrl":"10.1016/j.dental.2024.06.016","url":null,"abstract":"<div><h3>Objectives</h3><p>The permeability of triamcinolone acetonide (TA), from bilayer mucoadhesive buccal films, through a biomimetic membrane, Permeapad™, was investigated employing Franz diffusion cell. The delivery systems composition and ethyl cellulose (EC) backing layer, on drug permeability, were assessed.</p></div><div><h3>Methods</h3><p>Three TA-loaded films were tested; hydroxypropyl methylcellulose (HPMC K4M; bilayer [F1] and monolayer), HPMC K4M/Polyvinylpyrrolidone (PVP): 90/10 [F2], and HPMC K15M film [F3]. All films contained propylene glycol (PG-plasticiser). TA solution alone was used as a control. TA permeability via a Permeapad™ barrier, simulating buccal mucosa, was assessed over 8 h using a Franz diffusion cell. TA permeated into the receptor compartment, released in the donor compartment, and located on/within the Permeapad™ barrier were analysed using UV-spectrophotometer.</p></div><div><h3>Results</h3><p>45.7 % drug retention within the Permeapad™ barrier was delivered from F1 (highest). F1, F2, and F3 significantly improved the TA’s permeability through Permeapad™, compared to TA solution alone (e.g., 8.5 % TA-solution, 21.5 %-F1), attributed to the synergy effect of HPMC and propylene glycol acting as penetration enhancers. F1 displayed a significant increase in drug permeability (receptor compartment; 21.5 %) compared to F3 (17.0 %). PVP significantly enhanced drug permeability (27.5 %). Impermeable EC backing layer controlled unidirectional drug release and reduced drug loss into the donor compartment (e.g., ∼28 % for monolayer film to ∼10 % for bilayer film, F1).</p></div><div><h3>Significance</h3><p>The mucoadhesive films demonstrated improved TA permeability via Permeapad™. The findings suggest that these bilayer mucoadhesive films, particularly F1, hold promise for the effective topical treatment of oral mucosa disorders, such as recurrent aphthous stomatitis and oral lichen planus.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 9","pages":"Pages 1372-1377"},"PeriodicalIF":4.6,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124001581/pdfft?md5=a82b18d9a685e969cc76ee3d2bd1d93d&pid=1-s2.0-S0109564124001581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141430983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of baghdadite (Ca3ZrSi2O9) cements for the application as novel endodontic filling materials 评估 Baghdadite(Ca3ZrSi2O9)水门汀作为新型牙髓充填材料的应用。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-17 DOI: 10.1016/j.dental.2024.05.026

Objectives

Baghdadite (Ca3ZrSi2O9) cements of various composition have been investigated in this study regarding an application as endodontic filling materials.

Methods

Cements were either obtained by mixing mechanically activated baghdadite powder with water (maBag) or by subsequently substituting the ß-tricalcium phosphate (ß-TCP) component in a brushite forming calcium phosphate cement. The cements were analyzed for their mechanical performance, injectability, radiopacity, phase composition and antimicrobial properties.

Results

The cements demonstrated sufficient mechanical performance with a compressive strength of ∼1 MPa (maBag) and 2.3 – 17.4 MPa (substituted calcium phosphate cement), good injectability > 80 % depending on the powder to liquid ratio and an intrinsic radiopacity of 1.13 – 2.05 mm aluminum equivalent. Immersion in artificial saliva proved their bioactivity by the formation of calcium phosphate and calcium silicate precipitates on the cement surface. The bacterial activity of Staphylococcus aureus cultured on the surface of the cements was found to be similar compared to clinical standard ProRoot MTA cement or even reduced by a factor of 3 for Streptococcus mutans.

Significance

In combination with their antibacterial properties, baghdadite cements are thought to have the potential to fulfil the clinical requirements for endodontic filling materials.

目的本研究对不同成分的巴氏合金(Ca3ZrSi2O9)水门汀作为牙髓充填材料的应用进行了调查:方法:通过将机械活化的巴格达岩粉末与水混合(maBag)或在刷状磷酸钙水门汀中替代ß-磷酸三钙(ß-TCP)成分来获得水门汀。对这些水门汀的机械性能、可注射性、放射性、相组成和抗菌性能进行了分析:结果:水门汀具有足够的机械性能,抗压强度为 1 兆帕(maBag)和 2.3 - 17.4 兆帕(替代磷酸钙水门汀),良好的可注射性大于 80%(取决于粉末与液体的比例),固有的不透射线性为 1.13 - 2.05 毫米铝当量。通过在水门汀表面形成磷酸钙和硅酸钙沉淀,在人工唾液中的浸泡证明了它们的生物活性。在水门汀表面培养的金黄色葡萄球菌的细菌活性与临床标准的 ProRoot MTA 水门汀相似,甚至对变异链球菌的活性降低了 3 倍:意义:结合其抗菌特性,巴格达岩水门汀被认为有可能满足牙髓充填材料的临床要求。
{"title":"Evaluation of baghdadite (Ca3ZrSi2O9) cements for the application as novel endodontic filling materials","authors":"","doi":"10.1016/j.dental.2024.05.026","DOIUrl":"10.1016/j.dental.2024.05.026","url":null,"abstract":"<div><h3>Objectives</h3><p>Baghdadite (Ca<sub>3</sub>ZrSi<sub>2</sub>O<sub>9</sub>) cements of various composition have been investigated in this study regarding an application as endodontic filling materials.</p></div><div><h3>Methods</h3><p>Cements were either obtained by mixing mechanically activated baghdadite powder with water (maBag) or by subsequently substituting the ß-tricalcium phosphate (ß-TCP) component in a brushite forming calcium phosphate cement. The cements were analyzed for their mechanical performance, injectability, radiopacity, phase composition and antimicrobial properties.</p></div><div><h3>Results</h3><p>The cements demonstrated sufficient mechanical performance with a compressive strength of ∼1 MPa (maBag) and 2.3 – 17.4 MPa (substituted calcium phosphate cement), good injectability &gt; 80 % depending on the powder to liquid ratio and an intrinsic radiopacity of 1.13 – 2.05 mm aluminum equivalent. Immersion in artificial saliva proved their bioactivity by the formation of calcium phosphate and calcium silicate precipitates on the cement surface. The bacterial activity of <em>Staphylococcus aureus</em> cultured on the surface of the cements was found to be similar compared to clinical standard ProRoot MTA cement or even reduced by a factor of 3 for <em>Streptococcus mutans</em>.</p></div><div><h3>Significance</h3><p>In combination with their antibacterial properties, baghdadite cements are thought to have the potential to fulfil the clinical requirements for endodontic filling materials.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 9","pages":"Pages 1364-1371"},"PeriodicalIF":4.6,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124001246/pdfft?md5=ed16838169369752ef00adc0baa750d4&pid=1-s2.0-S0109564124001246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141417056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Dental Materials
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