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Changes in the composition and mechanical properties of dentin in mouse models of diabetes 糖尿病小鼠模型牙本质成分和机械性能的变化。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.09.010
K. Tang , S. Ceteznik , M. Kim , K.E. Bornfeldt , J.E. Kanter , H. Zhang , D.D. Arola

Objectives

This study employed mouse models of type 1 (T1D) and type 2 (T2D) diabetes to characterize the changes in tooth dentin composition and its mechanical properties.

Methods

Thirty-two mice were used in this study and divided into T1D, T2D and corresponding control groups. Mandibles were extracted 12 weeks after the onset of diabetes, and dentin from the first molars was evaluated in varying regions of the root. The composition was assessed using Raman Spectroscopy. Nanoindentation and Vickers indentation were employed to study the mechanical properties of the tissue. Statistical significance was evaluated by two-way analysis of variance with respect to the diabetic group and region of the tooth (p ≤ 0.05).

Results

In the T2D model, the mineral-to-collagen ratio, hardness, and storage modulus of the intertubular dentin were significantly reduced compared to tissue from the controls, especially in the cervical regions of the tooth. The reduction in the mineral-to-collagen ratio was also observed in the T1D model, but changes in nanomechanical properties were not evident. However, the bulk hardness of the teeth in the T1D model was lower than in the littermate controls. Optical microscopy revealed significant wear of the tooth crowns in both models of diabetes, which appear to result from parafunctional activities.

Conclusion

This study suggests that both type 1 and type 2 models of diabetes are associated with detrimental changes in dentin.

Clinical significance

Better understanding of how diabetes affects dentin and the contributing mechanisms will be key to improving treatments for people with diabetes.
目的:本研究采用 1 型糖尿病(T1D)和 2 型糖尿病(T2D)小鼠模型,研究牙本质成分及其机械性能的变化:本研究采用 1 型糖尿病(T1D)和 2 型糖尿病(T2D)小鼠模型来描述牙齿牙本质成分及其机械性能的变化:本研究使用 32 只小鼠,分为 1 型糖尿病组、2 型糖尿病组和相应的对照组。糖尿病发生 12 周后拔出下颌骨,评估第一磨牙根部不同区域的牙本质。使用拉曼光谱评估了牙本质的成分。纳米压痕法和维氏压痕法用于研究组织的机械性能。通过对糖尿病组和牙齿区域进行双向方差分析来评估统计学意义(P ≤ 0.05):结果:在 T2D 模型中,与对照组相比,管间牙本质的矿物质与胶原蛋白比率、硬度和储存模量显著降低,尤其是在牙颈部。在 T1D 模型中也观察到了矿物质与胶原蛋白比率的降低,但纳米力学性能的变化并不明显。不过,T1D 模型牙齿的硬度低于同种对照组。光学显微镜检查发现,两种糖尿病模型的牙冠都有明显磨损,这似乎是副功能活动造成的:这项研究表明,1 型和 2 型糖尿病模型都与牙本质的有害变化有关:临床意义:更好地了解糖尿病对牙本质的影响及其机制将是改善糖尿病患者治疗的关键。
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引用次数: 0
The effects of optimized microstructured surfaces on bond strength and durability of NPJ-printed zirconia 优化微结构表面对 NPJ 印刷氧化锆粘接强度和耐久性的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.09.016
Yuhan Ma , Huihua Wang , Yang Xiang , Mingxing Li , Dongni Shen , Sisi Zhang , Xiaojian Zhou , Jun An , Ying Shi , Baiping Fu

Objectives

This study was to investigate the effects of optimized microstructured surfaces on bond strength and bond durability of the latest nanoparticle jetting (NPJ)-printed zirconia.

Methods

Zirconia microstructured surfaces with different geometries and void volume were analyzed through three-dimensional finite element analysis for surface micromorphology optimization. Zirconia disks and cylinders were additively manufactured by an NPJ 3D printer (N = 128). They were randomly divided into four groups based on surface micromorphology optimization and airborne-particle abrasion (APA) treatment before they were bonded using 10-methacryloloxydecyl dihydrogen phosphate (MDP) containing resin cement (Clearfil SA luting cement). The shear bond strengths (SBSs) were tested before and after 10,000 thermocycles and were analyzed by one-way ANOVA analysis. Failure modes were determined by optical microscopy. Zirconia surfaces were analyzed with X-ray diffraction, scanning electron microscopy, and three-dimensional interference microscopy.

Results

The optimized microstructured surface was characterized by circular microstructures with 60 % void volume, about 20 µm of depths, about 10 µm of undercuts, and consistent beam widths. The optimized microstructured surface combined with APA treatment and MDP-containing resin cement possessed the highest SBSs both before and after thermocycling aging (P<0.05). The greater reductions of zirconia bond strengths occurred when the zirconia were not treated with APA (P<0.05).

Significance

The optimized microstructured zirconia surface with circular microstructures and 60 % void volume fabricated by the latest NPJ printing technology could greatly enhance the zirconia bond strength and durability in combination with APA treatment and application of MDP-containing resin cement, which might be promising for adhesively bonded indirect restorations of NPJ-printed zirconia.
研究目的本研究旨在探讨优化的微结构表面对最新的纳米粒子喷射(NPJ)印刷氧化锆的粘接强度和粘接耐久性的影响:方法:通过三维有限元分析对不同几何形状和空隙量的氧化锆微结构表面进行分析,以优化表面微观形态。氧化锆圆盘和圆柱体由 NPJ 三维打印机(N = 128)添加制造而成。在使用含 10-甲基丙烯酰氧癸基磷酸二氢酯(MDP)的树脂水门汀(Clearfil SA 树脂水门汀)进行粘接之前,根据表面微观形态优化和气载颗粒磨损(APA)处理将它们随机分为四组。对 10,000 次热循环前后的剪切粘接强度(SBS)进行了测试,并通过单因素方差分析进行了分析。失效模式由光学显微镜确定。用 X 射线衍射、扫描电子显微镜和三维干涉显微镜分析氧化锆表面:优化后的微结构表面具有圆形微结构,空隙率为 60%,深度约为 20 µm,下切深度约为 10 µm,束宽一致。结合 APA 处理和含 MDP 树脂水泥的优化微结构表面在热循环老化前后都具有最高的 SBS(P<0.05)。未经 APA 处理的氧化锆的结合强度降低幅度更大(P<0.05):意义:利用最新的 NPJ 印刷技术制作的具有圆形微结构和 60% 空隙体积的优化微结构氧化锆表面,与 APA 处理和含 MDP 树脂水门汀结合使用,可大大提高氧化锆的粘结强度和耐久性,有望用于 NPJ 印刷氧化锆的粘结间接修复。
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引用次数: 0
Colloidal platinum nanoparticles enhance resin-dentin bonding durability 胶体铂纳米粒子可增强树脂-牙本质粘接的耐久性。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.09.015
Yuan Yuan , Papichaya Intajak , Norihito Sakaguchi , Shihchun Ting , Hongbo Zhang , Takatsumi Ikeda , Shuhei Hoshika , Hidehiko Sano , Atsushi Tomokiyo

Objectives

This study aims to investigate the effect of colloidal platinum nanoparticles (CPN) on the durability of resin-dentin bonding performance with contemporary adhesives.

Methods

Sixty non-carious human maxillary premolars were subjected to microtensile bond strength (µTBS) testing and divided into two main groups: CPN-treated and untreated. Within each group, specimens were randomly allocated to Clearfil Megabond 2 (MB2), Scotchbond Universal Plus Adhesive with self-etch mode (SE-SUP), and etch-and-rinse mode (ER-SUP) subgroups (n = 10/group). CPN was applied to dentin in the MB2 and SE-SUP groups for 20 s, followed by rinsing before adhesive application. In the ER-SUP group, CPN was applied after etch-and-rinse. The µTBS was tested after 24 h, 6 months, and 1 year, and the fracture modes were observed using SEM. The µTBS data were analyzed using a two-way ANOVA and post-hoc Tukey HSD test (α = 0.05). An additional twelve premolars underwent TEM/STEM/EDX for ultra-morphological observations.

Results

The application of CPN significantly prevented a decline in the µTBS of both the MB2 and SE-SUP groups. No significant decrease was observed in the ER-SUP group, either with aging or CPN application. Ultra-morphological images revealed platinum nanoparticles attaching to the collagen fibrils of the hybrid layer regardless of aging. It was highlighted that the nanoparticles attached to the banded collagen in the aging groups were observed.

Significance

CPN exhibits the potential in enhancing the longevity of resin-dentin bonding in SE mode.
研究目的本研究旨在探讨胶体铂纳米粒子(CPN)对当代粘合剂的树脂-牙本质粘接性能的耐久性的影响:方法:对 60 颗未龋坏的人类上颌前磨牙进行微拉伸粘接强度(µTBS)测试,并将其分为两大组:CPN 处理组和未处理组。在每组中,试样被随机分配到 Clearfil Megabond 2 (MB2)、Scotchbond Universal Plus 粘接剂自酸洗模式 (SE-SUP) 和酸洗-冲洗模式 (ER-SUP) 亚组(n = 10/组)。在 MB2 和 SE-SUP 组中,CPN 在牙本质上涂抹 20 秒,然后在涂抹粘合剂前冲洗。在 ER-SUP 组中,CPN 是在蚀刻-冲洗后使用的。分别在 24 小时、6 个月和 1 年后测试 µTBS,并使用扫描电镜观察断裂模式。µTBS 数据采用双向方差分析和事后 Tukey HSD 检验(α = 0.05)进行分析。另外还对 12 颗前臼齿进行了 TEM/STEM/EDX 超形态观察:结果:使用氯化萘可明显防止 MB2 组和 SE-SUP 组 µTBS 的下降。在 ER-SUP 组中,无论是老化还是使用 CPN,都没有观察到明显的下降。超微形态学图像显示,无论老化与否,铂纳米粒子都附着在混合层的胶原纤维上。突出显示的是,在老化组中观察到纳米颗粒附着在带状胶原上:在 SE 模式下,CPN 具有提高树脂-牙本质粘接寿命的潜力。
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引用次数: 0
Characterization of experimental resin composites with cholesteryl methacrylate organic matrix – Part 2 具有胆固醇甲基丙烯酸酯有机基质的实验性树脂复合材料的特性 - 第 2 部分。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.07.037
Julyana Dumas Santos Silva , Letícia Nunes de Almeida , Antônio Silva Machado , Amanda Alves de Oliveira , Luiza Santos Cardoso , Cristhiane Gonçalves , Isaac Yves Lopes de Macêdo , Eric de Souza Gil , Crisnicaw Veríssimo , Karla de Aleluia Batista , Luciano Morais Lião , Carlos Estrela , Ricardo Menegatti , Lawrence Gonzaga Lopes

Objective

The aim of this study was to evaluate the degree of conversion (%), flexural strength (MPa), elastic modulus (GPa), compressive strength (MPa), Knoop microhardness (KHN), post-gel shrinkage (%) and prediction of ideal concentration of cholesteryl methacrylate (CM) in experimental resins.

Methods

Four formulations were manipulated (F): F1, control group, (0 % CM); F2 (15 % CM); F3 (19.8 % CM) and F4 (30 % CM). Bis-GMA and CM percentages were determined using Statistica™ software. For the degree of conversion test, Raman spectroscopy was used. To testing flexural strength, elastic modulus and compressive strength, a universal testing machine was used. For the Knoop microhardness test five indentations were made in each sample. Post-gel shrinkage was determined using the strain gauge method. Statistica™ software processed all data obtained in this study. Results were submitted to one-way ANOVA and Tukey's post hoc tests (α = 0.05).

Results

Better performance was observed for F2 (15 % CM) and F3 (19,8 % CM) for degree of conversion, elastic modulus and post-gel shrinkage. For Knoop microhardness F2 (15 % CM), F3 (19,8 % CM) and F4 (30 % CM) showed higher values than F1 (0 % CM). For flexural strength F1 (0 % CM) and F3 (19,8 %) were similar and F4 showed the lowest values and for compressive strength F1 (0 % CM) showed the highest values. For mixture designs analysis data, concentrations ≤ 25 % of CM would provide better results.

Significance

Addition of CM at concentrations lower than 30 % contributed to a significant increase in the degree of conversion, microhardness values, elastic modulus and reduction of post-gel shrinkage.
研究目的本研究旨在评估实验树脂中胆固醇甲基丙烯酸酯(CM)的转化率(%)、弯曲强度(兆帕)、弹性模量(GPa)、压缩强度(兆帕)、努氏显微硬度(KHN)、凝胶后收缩率(%)以及理想浓度的预测:对四种配方(F)进行了处理:F1,对照组(0 % CM);F2(15 % CM);F3(19.8 % CM)和 F4(30 % CM)。使用 Statistica™ 软件测定 Bis-GMA 和 CM 百分比。转换度测试采用拉曼光谱。在测试抗折强度、弹性模量和抗压强度时,使用了万能试验机。努氏显微硬度测试在每个样品上都做了五个压痕。凝胶后收缩率采用应变计法测定。Statistica™ 软件处理了本研究获得的所有数据。对结果进行了单因素方差分析和 Tukey 后检验(α = 0.05):在转化率、弹性模量和凝胶后收缩率方面,F2(15% CM)和 F3(19.8% CM)的性能更好。在努氏显微硬度方面,F2(15 % CM)、F3(19.8 % CM)和 F4(30 % CM)的数值高于 F1(0 % CM)。在抗折强度方面,F1(0 % CM)和 F3(19.8 % CM)的数值相似,F4 的数值最低;在抗压强度方面,F1(0 % CM)的数值最高。就混合物设计分析数据而言,CM 浓度≤ 25 % 的结果会更好:添加浓度低于 30 % 的 CM 有助于显著提高转化率、微硬度值、弹性模量和减少凝胶后收缩。
{"title":"Characterization of experimental resin composites with cholesteryl methacrylate organic matrix – Part 2","authors":"Julyana Dumas Santos Silva ,&nbsp;Letícia Nunes de Almeida ,&nbsp;Antônio Silva Machado ,&nbsp;Amanda Alves de Oliveira ,&nbsp;Luiza Santos Cardoso ,&nbsp;Cristhiane Gonçalves ,&nbsp;Isaac Yves Lopes de Macêdo ,&nbsp;Eric de Souza Gil ,&nbsp;Crisnicaw Veríssimo ,&nbsp;Karla de Aleluia Batista ,&nbsp;Luciano Morais Lião ,&nbsp;Carlos Estrela ,&nbsp;Ricardo Menegatti ,&nbsp;Lawrence Gonzaga Lopes","doi":"10.1016/j.dental.2024.07.037","DOIUrl":"10.1016/j.dental.2024.07.037","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to evaluate the degree of conversion (%), flexural strength (MPa), elastic modulus (GPa), compressive strength (MPa), Knoop microhardness (KHN), post-gel shrinkage (%) and prediction of ideal concentration of cholesteryl methacrylate (CM) in experimental resins.</div></div><div><h3>Methods</h3><div>Four formulations were manipulated (F): F1, control group, (0 % CM); F2 (15 % CM); F3 (19.8 % CM) and F4 (30 % CM). Bis-GMA and CM percentages were determined using Statistica™ software. For the degree of conversion test, Raman spectroscopy was used. To testing flexural strength, elastic modulus and compressive strength, a universal testing machine was used. For the Knoop microhardness test five indentations were made in each sample. Post-gel shrinkage was determined using the strain gauge method. Statistica™ software processed all data obtained in this study. Results were submitted to one-way ANOVA and Tukey's post hoc tests (α = 0.05).</div></div><div><h3>Results</h3><div>Better performance was observed for F2 (15 % CM) and F3 (19,8 % CM) for degree of conversion, elastic modulus and post-gel shrinkage. For Knoop microhardness F2 (15 % CM), F3 (19,8 % CM) and F4 (30 % CM) showed higher values than F1 (0 % CM). For flexural strength F1 (0 % CM) and F3 (19,8 %) were similar and F4 showed the lowest values and for compressive strength F1 (0 % CM) showed the highest values. For mixture designs analysis data, concentrations ≤ 25 % of CM would provide better results.</div></div><div><h3>Significance</h3><div>Addition of CM at concentrations lower than 30 % contributed to a significant increase in the degree of conversion, microhardness values, elastic modulus and reduction of post-gel shrinkage.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 11","pages":"Pages e63-e71"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900328","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
Improving accuracy and efficiency of the machined PEEK denture based on NSGA-II integrated GABP neural network 基于 NSGA-II 集成 GABP 神经网络提高 PEEK 义齿加工的精度和效率。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.07.011
Hao Jia , Shuting Liang , Ji Zhao , Jingjin Li , Handa Dai , Shijun Ji

Objectives

The polymer polyetheretherketone (PEEK) is gradually being used in dental restorations because of its excellent mechanical properties, chemical resistance, fatigue resistance, thermal stability, radiation translucency and good biocompatibility. To process PEEK dentures with lower surface roughness as quickly as possible, the non-dominated sorting genetic algorithm-II (NSGA-II) integrated genetic algorithm back propagation (GABP) neural network was proposed, which can adjust the combination of process parameters for milling PEEK dentures.

Methods

The PEEK machining was conducted using a four-axis dental milling machine at different process parameters. The surface roughness of PEEK dentures was characterized using surface roughness profiler and scanning electron microscopy (SEM). The optimum machining performance of milling PEEK dentures was investigated using a multi-objective optimization model named as NSGA-II integrated GABP neural network algorithm. The surface roughness (Ra) and material removal rate (MRR) were used as optimization objectives.

Results

The multi-objective optimization model effectively improved surface roughness and machining efficiency for milling PEEK dentures. The validation experiments showed that the surface roughness of all PEEK dentures was less than 0.2μm, which was within the range of surface roughness set in this paper. The GABP surface roughness prediction model had an average error of 6 %. For the same surface roughness value, the optimized milling parameters all had a greater material removal rate.

Significance

The research results can improve current PEEK denture CAD/CAM technology by providing appropriate milling parameters using NSGA-II integrated GABP algorithm.
目的:聚合物聚醚醚酮(PEEK)具有优异的机械性能、耐化学性、抗疲劳性、热稳定性、辐射半透明性和良好的生物相容性,正逐渐应用于牙科修复体。为了尽快加工出表面粗糙度较低的 PEEK 义齿,提出了非支配排序遗传算法-II(NSGA-II)集成遗传算法反向传播(GABP)神经网络,该网络可以调整铣削 PEEK 义齿的工艺参数组合:方法:使用四轴牙科铣床在不同工艺参数下对 PEEK 进行加工。使用表面粗糙度轮廓仪和扫描电子显微镜(SEM)对 PEEK 义齿的表面粗糙度进行表征。使用名为 NSGA-II 集成 GABP 神经网络算法的多目标优化模型研究了 PEEK 义齿铣削的最佳加工性能。表面粗糙度(Ra)和材料去除率(MRR)被作为优化目标:结果:多目标优化模型有效改善了 PEEK 义齿铣削的表面粗糙度和加工效率。验证实验表明,所有 PEEK 义齿的表面粗糙度均小于 0.2μm,在本文设定的表面粗糙度范围内。GABP 表面粗糙度预测模型的平均误差为 6%。对于相同的表面粗糙度值,优化后的铣削参数都具有更高的材料去除率:研究结果可以利用 NSGA-II 集成 GABP 算法提供适当的铣削参数,从而改进当前的 PEEK 义齿 CAD/CAM 技术。
{"title":"Improving accuracy and efficiency of the machined PEEK denture based on NSGA-II integrated GABP neural network","authors":"Hao Jia ,&nbsp;Shuting Liang ,&nbsp;Ji Zhao ,&nbsp;Jingjin Li ,&nbsp;Handa Dai ,&nbsp;Shijun Ji","doi":"10.1016/j.dental.2024.07.011","DOIUrl":"10.1016/j.dental.2024.07.011","url":null,"abstract":"<div><h3>Objectives</h3><div>The polymer polyetheretherketone (PEEK) is gradually being used in dental restorations because of its excellent mechanical properties, chemical resistance, fatigue resistance, thermal stability, radiation translucency and good biocompatibility. To process PEEK dentures with lower surface roughness as quickly as possible, the non-dominated sorting genetic algorithm-II (NSGA-II) integrated genetic algorithm back propagation (GABP) neural network was proposed, which can adjust the combination of process parameters for milling PEEK dentures.</div></div><div><h3>Methods</h3><div>The PEEK machining was conducted using a four-axis dental milling machine at different process parameters. The surface roughness of PEEK dentures was characterized using surface roughness profiler and scanning electron microscopy (SEM). The optimum machining performance of milling PEEK dentures was investigated using a multi-objective optimization model named as NSGA-II integrated GABP neural network algorithm. The surface roughness (Ra) and material removal rate (MRR) were used as optimization objectives.</div></div><div><h3>Results</h3><div>The multi-objective optimization model effectively improved surface roughness and machining efficiency for milling PEEK dentures. The validation experiments showed that the surface roughness of all PEEK dentures was less than 0.2<span><math><mrow><mi>μ</mi><mi>m</mi></mrow></math></span>, which was within the range of surface roughness set in this paper. The GABP surface roughness prediction model had an average error of 6 %. For the same surface roughness value, the optimized milling parameters all had a greater material removal rate.</div></div><div><h3>Significance</h3><div>The research results can improve current PEEK denture CAD/CAM technology by providing appropriate milling parameters using NSGA-II integrated GABP algorithm.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 11","pages":"Pages e82-e94"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911015","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
Emerging technologies for the evaluation of spatio-temporal polymerisation changes in flowable vs. sculptable dental resin-based composites 评估可流动与可雕刻牙科树脂基复合材料时空聚合变化的新兴技术。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.09.002
Danijela Marovic , Håvard J. Haugen , Matej Par , Stefanie Linskens , Emile Mensikova , Visnja Negovetic Mandic , Sander Leeuwenburgh , Liebert P. Nogueira , Pekka K. Vallittu , Qianli Ma

Background

This study presents a novel multi-technique approach that integrates micro-CT and optical photothermal infrared spectroscopy (O-PTIR) to evaluate polymerisation differences, so-called spatio-temporal polymerisation properties, between flowable and sculptable dental resin-based composites.

Methods

Ten commercially available dental composites were investigated, including flowable and sculptable counterparts from the same manufacturer. Eight parameters were evaluated: short-term polymerisation characteristics (degree of conversion after 5 min, maximum polymerisation rate, time to reach maximum polymerisation rate) was measured using ATR-FTIR with real-time monitoring; changes in the degree of conversion with depth were evaluated with O-PTIR, 3D visualisation of shrinkage patterns, overall volumetric shrinkage, depth-specific shrinkage, and porosity were measured using micro-CT; surface morphology with detailed measurements of elemental composition was characterised using SEM/EDX; light transmittance was analysed with a NIST-referenced spectrometer.

Results

The study found that the increase in filler weight and volume ratio reduced the degree of conversion and polymerisation shrinkage, while moderately influencing the maximum polymerisation rates. The time to reach maximum polymerisation rates and light transmittance were not dependent on the filler amount. O-PTIR assessed a depth-dependent decrease in the degree of conversion for both composite types, with flowable composites generally showing a greater decrease in the degree of conversion than sculptable composites, except for bulk-fill composites. Micro-CT scans showed significantly higher flowable shrinkage values than their sculptable counterparts, highlighting the performance differences between the two types of composites.

Conclusions

The findings of this study have practical implications for the selection and use of dental composites. Flowable composites, despite their higher degrees of conversion and polymerisation rates, also exhibit higher volumetric shrinkage, which can be detrimental for clinical applications. The new measurement methods used in this study provide a comprehensive overview of the polymerisation behaviour of commercially available dental composites, offering valuable insights for material optimisation.
背景:本研究提出了一种新颖的多技术方法,该方法将显微计算机断层扫描(micro-CT)和光学光热红外光谱(O-PTIR)结合在一起,用于评估可流动和可雕刻牙科树脂基复合材料之间的聚合差异,即所谓的时空聚合特性:方法:研究了十种市售牙科复合材料,包括同一制造商生产的可流动和可雕刻复合材料。对八个参数进行了评估:使用实时监控的 ATR-FTIR 测量短期聚合特性(5 分钟后的转化程度、最大聚合率、达到最大聚合率的时间);使用 O-PTIR 评估转化程度随深度的变化;使用 micro-CT 测量收缩模式的三维可视化、总体体积收缩、特定深度收缩和孔隙率;使用 SEM/EDX 表征表面形态并详细测量元素组成;使用 NIST 参考光谱仪分析透光率。结果:研究发现,填料重量和体积比的增加降低了转化率和聚合收缩率,同时对最大聚合率产生了一定的影响。达到最大聚合率的时间和透光率与填料量无关。O-PTIR 评估表明,两种类型的复合材料的转化率都会随深度而降低,除填充型复合材料外,流动型复合材料的转化率通常比雕刻型复合材料的转化率降低得更多。显微 CT 扫描显示,可流动复合材料的收缩值明显高于可雕刻复合材料,凸显了这两种复合材料的性能差异:本研究的结果对牙科复合材料的选择和使用具有实际意义。尽管可流动复合材料的转化率和聚合率较高,但其体积收缩率也较高,这可能不利于临床应用。本研究中使用的新测量方法全面概述了市售牙科复合材料的聚合行为,为材料优化提供了宝贵的见解。
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引用次数: 0
Direct ink writing with dental composites: A paradigm shift toward sustainable chair-side production 牙科复合材料的直接墨水书写:向可持续椅旁生产的模式转变。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.08.002
Po-Chun Tseng , Dar-Bin Shieh , Andreas Kessler , Dalia Kaisarly , Peter Rösch , Karl-Heinz Kunzelmann

Objectives

To evaluate the dimensional accuracy of occlusal veneers printed using a novel direct ink writing (DIW) system and a clinically approved dental composite.

Methods

A novel three-dimensional printer was developed based on the extrusion-based DIW principle. The printer, constructed primarily with open-source hardware, was calibrated to print with a flowable resin composite (Beautifil Flow Plus). The feasibility of this technology was assessed through an evaluation of the dimensional accuracy of 20 printed occlusal veneers using a laboratory confocal scanner. The precision was determined by pairwise superimposition of the 20 prints, resulting in a set of 190 deviation maps used to evaluate between-sample variations.

Results

Without material waste or residuals, the DIW system can print a solid occlusal veneer of a maxillary molar within a 20-minute timeframe. Across all the sampled surface points, the overall unsigned dimensional deviation was 30.1 ± 20.2 µm (mean ± standard deviation), with a median of 24.4 µm (interquartile range of 22.5 µm) and a root mean square value of 36.3 µm. The pairwise superimposition procedure revealed a mean between-sample dimensional deviation of 26.7 ± 4.5 µm (mean ± standard deviation; n = 190 pairs), indicating adequate precision. Visualization of the deviation together with the nonextrusion movements highlights the correlation between high-deviation regions and material stringing.

Significance

This study underscores the potential of using the proposed DIW system to create indirect restorations utilizing clinically approved flowable resin composites. Future optimization holds promise for enhancing the printing accuracy and increasing the printing speed.
目的评估使用新型直接油墨书写(DIW)系统和临床认可的牙科复合材料打印的咬合贴面的尺寸精度:方法:根据基于挤出的 DIW 原理开发了一种新型三维打印机。该打印机主要由开源硬件构成,经校准后可使用流动树脂复合材料(Beautifil Flow Plus)进行打印。通过使用实验室共焦扫描仪对 20 个打印的咬合贴面的尺寸精度进行评估,对该技术的可行性进行了评估。精确度是通过将 20 个印刷品成对叠加来确定的,由此产生了一组 190 个偏差图,用于评估样本间的差异:结果:在没有材料浪费或残留的情况下, DIW 系统能在 20 分钟内打印出上颌臼齿的实心咬合贴面。在所有取样表面点上,未签名的整体尺寸偏差为 30.1 ± 20.2 µm(平均值 ± 标准偏差),中位数为 24.4 µm(四分位间范围为 22.5 µm),均方根值为 36.3 µm。成对叠加程序显示,样本间的平均尺寸偏差为 26.7 ± 4.5 µm(平均值 ± 标准偏差;n = 190 对),表明精度足够高。偏差与非挤压运动的可视化凸显了高偏差区域与材料串联之间的相关性:本研究强调了使用拟议的 DIW 系统制作间接修复体的潜力,该修复体使用的是临床认可的可流动树脂复合材料。未来的优化有望提高打印精度和打印速度。
{"title":"Direct ink writing with dental composites: A paradigm shift toward sustainable chair-side production","authors":"Po-Chun Tseng ,&nbsp;Dar-Bin Shieh ,&nbsp;Andreas Kessler ,&nbsp;Dalia Kaisarly ,&nbsp;Peter Rösch ,&nbsp;Karl-Heinz Kunzelmann","doi":"10.1016/j.dental.2024.08.002","DOIUrl":"10.1016/j.dental.2024.08.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the dimensional accuracy of occlusal veneers printed using a novel direct ink writing (DIW) system and a clinically approved dental composite.</div></div><div><h3>Methods</h3><div>A novel three-dimensional printer was developed based on the extrusion-based DIW principle. The printer, constructed primarily with open-source hardware, was calibrated to print with a flowable resin composite (Beautifil Flow Plus). The feasibility of this technology was assessed through an evaluation of the dimensional accuracy of 20 printed occlusal veneers using a laboratory confocal scanner. The precision was determined by pairwise superimposition of the 20 prints, resulting in a set of 190 deviation maps used to evaluate between-sample variations.</div></div><div><h3>Results</h3><div>Without material waste or residuals, the DIW system can print a solid occlusal veneer of a maxillary molar within a 20-minute timeframe. Across all the sampled surface points, the overall unsigned dimensional deviation was 30.1 ± 20.2 µm (mean ± standard deviation), with a median of 24.4 µm (interquartile range of 22.5 µm) and a root mean square value of 36.3 µm. The pairwise superimposition procedure revealed a mean between-sample dimensional deviation of 26.7 ± 4.5 µm (mean ± standard deviation; n = 190 pairs), indicating adequate precision. Visualization of the deviation together with the nonextrusion movements highlights the correlation between high-deviation regions and material stringing.</div></div><div><h3>Significance</h3><div>This study underscores the potential of using the proposed DIW system to create indirect restorations utilizing clinically approved flowable resin composites. Future optimization holds promise for enhancing the printing accuracy and increasing the printing speed.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 11","pages":"Pages 1753-1761"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900329","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
Novel matrix formulation for resin composite: Chemical and biomechanical characterization – Part 1 树脂复合材料的新型基质配方:化学和生物力学特性分析 - 第 1 部分。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.07.032
Julyana Dumas Santos Silva , Letícia Nunes de Almeida , Antônio Silva Machado , Érica Miranda de Torres , Eric de Souza Gil , Cristhiane Gonçalves , Luciano Morais Lião , Germán Sanz Lobón , Boniek Gontijo Vaz , Lawrence Gonzaga Lopes , Ricardo Menegatti

Objective

This study aimed to investigate the effects of adding cholesteryl methacrylate (CM) monomer to experimental composite resins and evaluate its impact on polymerization shrinkage force (PSF), Knoop microhardness (KHN), sorption and solubility (SS), vulnerability to spontaneous oxidation (VOE), porosity (BES), viscosity (V), and cross-link density (CLD). CM was synthesized, mixed with varying proportions of Bis-GMA, 70 wt% filler particles, and 40 % TEGDMA. The groups tested were: CM0 (60 % Bis-GMA), CM6 (54 % Bis-GMA/6 % CM), CM12 (48 % Bis-GMA/12 % CM), CM18 (42 % Bis-GMA/18 % CM) and CM24 (36 % Bis-GMA/24 % CM). The PSF was evaluated using a universal testing machine. KHN was measured with a 50 g load for 30 s. SS was determined according to ISO 4049:2009. VOE was measured with a three-electrode system in an electrochemical cell. BES images were obtained using an electron microscope to assess porosity. Viscosity was measured through rheological analysis. CLD was estimated from hardness readings before and after ethanol storage.

Results

CM6 (0.34 N) and CM12 (0.34 N) exhibited the lowest PSF values compared to CM0 (0.91 N). For KHN, CM6 (32.03) and CM12 (31.03) had higher values than CM0 (25.83) and were similar to CM18 (29.39) and CM24 (28.64). SS showed no significant differences among the groups. VOE indicated low vulnerability across all groups. CM12 had greater porosity compared to CM0 in BES images. CM0 had the lowest viscosity among the groups. No differences in CLD were observed among CM0, CM12, CM18, and CM24 regarding softening effects.

Significance

Adding CM to Bis-GMA/TEGDMA composite resins can reduce polymerization shrinkage force and increase the initial Knoop microhardness without affecting the other properties studied.
研究目的本研究旨在探讨在实验复合树脂中添加胆固醇甲基丙烯酸酯 (CM) 单体的效果,并评估其对聚合收缩力 (PSF)、努氏显微硬度 (KHN)、吸附性和溶解性 (SS)、易自发氧化性 (VOE)、孔隙率 (BES)、粘度 (V) 和交联密度 (CLD) 的影响。将 CM 与不同比例的 Bis-GMA、70 wt% 的填料颗粒和 40 % 的 TEGDMA 混合合成。测试组为CM0 (60 % Bis-GMA)、CM6 (54 % Bis-GMA/6 % CM)、CM12 (48 % Bis-GMA/12 % CM)、CM18 (42 % Bis-GMA/18 % CM) 和 CM24 (36 % Bis-GMA/24 % CM)。PSF 使用万能试验机进行评估。根据 ISO 4049:2009 标准测定 SS。VOE 通过电化学电池中的三电极系统进行测量。使用电子显微镜获得 BES 图像,以评估孔隙率。粘度通过流变分析进行测量。根据乙醇储存前后的硬度读数估算 CLD:与 CM0(0.91 N)相比,CM6(0.34 N)和 CM12(0.34 N)的 PSF 值最低。对于 KHN,CM6(32.03)和 CM12(31.03)的值高于 CM0(25.83),与 CM18(29.39)和 CM24(28.64)相似。SS 在各组间无明显差异。所有组的 VOE 值均较低。在 BES 图像中,CM12 的孔隙率高于 CM0。CM0 的粘度在各组中最低。在软化效果方面,CMD 在 CM0、CM12、CM18 和 CM24 之间没有差异:在双-GMA/TEGDMA 复合树脂中添加 CM 可降低聚合收缩力并提高初始努氏显微硬度,而不会影响所研究的其他性能。
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引用次数: 0
Physicochemical and biological properties of dental materials and formulations with silica nanoparticles: A narrative review 含纳米二氧化硅的牙科材料和配方的物理化学和生物学特性:综述。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.07.028
Larissa Pavanello , Iago Torres Cortês , Rafaela Durrer Parolina de Carvalho , Mayara Zaghi Dal Picolo , Vanessa Cavalli , Larissa Tavares Sampaio Silva , Letícia Cristina Cidreira Boaro , Polina Prokopovich , Karina Cogo-Müller

Objective

Silica nanoparticles (SNPs) have been extensively studied and used in different dental applications to promote improved physicochemical properties, high substance loading efficiency, in addition to sustained delivery of substances for therapeutic or preventive purposes. Therefore, this study aimed to review the SNPs applications in nanomaterials and nanoformulations in dentistry, discussing their effect on physicochemical properties, biocompatibility and ability to nanocarry bioactive substances.

Data resources

Literature searches were conducted on PubMed, Web of Science, and Scopus databases to identify studies examining the physicochemical and biological properties of dental materials and formulations containing SNPs. Data extraction was performed by one reviewer and verified by another

Study selection

A total of 50 were reviewed. In vitro studies reveal that SNPs improved the general properties of dental materials and formulations, such as microhardness, fracture toughness, flexural strength, elastic modulus and surface roughness, in addition to acting as efficient nanocarriers of substances, such as antimicrobial, osteogenic and remineralizing substances, and showed biocompatibility

Conclusions

SNPs are biocompatible, improve properties of dental materials and serve as effective carriers for bioactive substances

Clinical significance

Overall, SNPs are a promising drug delivery system that can improve dental materials biological and physicochemical and aesthetic properties, increasing their longevity and clinical performance. However, more studies are needed to elucidate SNPs short- and long-term effects in the oral cavity, mainly on in vivo and clinical studies, to prove their effectiveness and safety.
目的:二氧化硅纳米颗粒(SNPs)已被广泛研究并应用于不同的牙科领域,以改善理化特性、提高物质负载效率,并持续输送物质用于治疗或预防目的。因此,本研究旨在回顾 SNPs 在牙科纳米材料和纳米制剂中的应用,讨论其对理化特性、生物相容性和纳米载入生物活性物质能力的影响:在PubMed、Web of Science和Scopus数据库中进行文献检索,以确定对含有SNPs的牙科材料和制剂的物理化学和生物特性进行研究的情况。数据提取工作由一名审稿人完成,并由另一名审稿人核实。体外研究表明,SNPs 可改善牙科材料和配方的一般特性,如微硬度、断裂韧性、抗弯强度、弹性模量和表面粗糙度,此外还可作为抗菌、成骨和再矿化物质等物质的高效纳米载体,并具有生物相容性 结论:SNPs 具有良好的生物相容性:临床意义:总的来说,SNP 是一种很有前景的给药系统,可以改善牙科材料的生物、理化和美学特性,延长其使用寿命,提高临床表现。然而,还需要更多的研究来阐明 SNP 在口腔中的短期和长期效应,主要是体内和临床研究,以证明其有效性和安全性。
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引用次数: 0
Applications of smart materials in minimally invasive dentistry – some research and clinical perspectives 智能材料在微创牙科中的应用--一些研究和临床观点。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-01 DOI: 10.1016/j.dental.2024.09.017
M. Par , L. Cheng , J. Camilleri , P. Lingström

Objectives

Dental caries is one of the most prevalent bacteria-induced non-communicable diseases globally. It is known to be the top oral health burden in both developing and developed nations. There is substantial literature on the disease process and there is still debate on the extent of caries removal needed and the adequacy of the materials available to restore the lost tooth structure. The current review discusses the disease process together with the contemporary management of the carious lesion and also presents substantial evidence on novel materials and techniques that make minimally invasive dentistry predictable.

Methods

The written work presented shows the most relevant literature for the management of dental caries focusing on novel materials used in minimally invasive dentistry.

Results

There is still much to learn about specific antimicrobial and caries prevention mechanisms of novel materials. Materials that respond to a single or a few stimuli remain "weakly intelligent" in the face of the complex microenvironment in the oral cavity. Engineered systems that combine artificial intelligence and chemical engineering, are expected to possess higher intelligence, self-healing capabilities as well as environmental adaptability, and may be future promising research directions.

Significance

The targeted approach in managing dental caries will hopefully have a better clinical outcome. The strategies discussed are alternatives to the contemporary approach and will improve the clinical management.
目的:龋齿是全球最普遍的由细菌引起的非传染性疾病之一。众所周知,无论是在发展中国家还是发达国家,龋齿都是口腔健康的首要负担。关于龋齿的发病过程已有大量文献,但对于龋齿需要清除的程度以及现有材料是否足以修复丧失的牙齿结构,仍存在争议。本综述讨论了龋病的发病过程以及当代对龋病的处理方法,还提供了大量关于新型材料和技术的证据,这些材料和技术使微创牙科治疗成为可能:提交的书面作品展示了与龋齿治疗最相关的文献,重点是微创牙科中使用的新型材料:关于新型材料的具体抗菌和防龋机制,仍有许多知识需要学习。面对口腔中复杂的微环境,只对单一或少数刺激做出反应的材料仍然是 "弱智能 "的。人工智能和化学工程相结合的工程系统有望拥有更高的智能、自愈能力和环境适应能力,可能是未来有前途的研究方向:有针对性的龋齿治疗方法有望取得更好的临床效果。所讨论的策略是当代方法的替代方案,将改善临床管理。
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引用次数: 0
期刊
Dental Materials
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