Journal of Dental Biomaterial最新文献

As it is seen, by passing the evolutionary process of banding of orthodontic attachments to the bonding ones, orthodontics have witnessed many developments, such as application of new adhesives, optimized base designs, new bracket materials, curing methods and more efficient primers. The studies often address the morphological, micro-leakage, and shear bond tests to evaluate bond efficacy. Among studies endeavored to develop the bond strength of brackets, some observed the reduction of micro-leakage of bracket-adhesive and enamel-adhesive interfaces. Owing to the importance of micro-leakage in orthodontics, this study aimed at reviewing the micro-leakage values directly relevant to the enamel decay and debonding of the brackets. To reach the best bond strength, the researchers tried to design different studies to evaluate the effect of variables and prevent any possible side effects in clinical situations. It is noticed that most studies have mainly focused on adhesives, enamel preparation and methods of curing which are discussed in this review. The literature was reviewed by searching databases, using micro-leakage and orthodontic bonding as the keywords . Having found the relevant studies, the researchers entered them into the database. After reviewing numerous studies conducted in this field, the type of adhesive or curing method was not found to have determinative role in the value of micro-leakage although more standardized studies are needed.

Statement of problem: Bioglasses are a series of biocompatible dental materials, which are considered as light conducting inserts in resin composite restorations. Consequently, their chemical stability is more essential when they are used in conjunction with resin composite.

Objectives: The aim of this study was to evaluate and compare the chemical stability of Bioglass with dental porcelain and resin composite by determining the amount of released K+, Na+, Ca2+ ions and silicone elements from these materials as a result of exposure to tested solutions with different pH levels including: Sodium Bicarbonate [SB, (pH=9.2)], Sodium Buffer Lactate [SBL, (pH=2.4)], Acetic Acid [AA, (pH=2.4)], and Distilled Water [DW, (pH=6.2)].

Materials and methods: In this experimental study, forty 2.0 × 4.0 cylindrical rods for each tested material group (Dental porcelain, Resin composite and Bioglass) were prepared. They were divided into four subgroups of 10 rods each, which immersed in one of the four testing solutions in a designated container. The containers were stored at 50°C and 100% humidity for one week. The released ions were measured by using a spectrophotometer (µg/cm²/ml). The data were statistically analyzed by nonparametric Kruskal-Wallis H test.

Results: It was observed that the tested materials released ions at different levels of concentration. The significant amounts of Sodium, Calcium, and Silicon ions release were measured in Bioglass subgroups in all the tested solutions (p < 0.001). Potassium ion release from dental porcelain was the largest in all solutions except for AA in which Bioglass had the greatest potassium ion release (p < 0.001).

Conclusions: A greater structural instability was observed for Biogalss group than dental porcelain and resin composite in testing solutions with different pH levels.

Statement of problem: In order to increase the performance of glass ionomer cement, it is reinforced with metal powders, short fibers, bioceramics and other materials. Fluoroapatite (Ca₁₀(PO₄)₆F₂) is found in dental enamel and is usually used in dental materials due to its good chemical and physical properties.

Objectives: In this study, the effects of the addition of synthesized fluoroapatite nanoceramic on the compressive strength and bioactivity of glass ionomer cement were investigated.

Materials and methods: The synthesized fluoroapatite nanoceramic particles (~ 70 nm) were incorporated into as-prepared glass ionomer powder and were characterized using X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). Moreover, the compressive strength values of the modified glass ionomer cements with 0, 1, 3 and 5 wt% of fluoroapatite were evaluated.

Results: Results showed that glass ionomer cement containing 3 wt% fluoroapatite nanoparticles exhibited the highest compressive strength (102.6 ± 4) compared to the other groups, including control group. Furthermore, FTIR and SEM investigations indicated that after soaking the glass ionomer cement- 3 wt% fluoroapatite composite in the simulated body fluid solution, the intensity of O-H, P-O and C-O absorption bands increased as a result of the formation of apatite layer on the surface of the sample, and the rather flat and homogeneous surface of the cement became more porous and inhomogeneous.

Conclusions: Addition of synthesized nano-fluoroapatite to as-prepared glass ionomer cement enhanced the compressive strength as well as nucleation of the calcium phosphate layer on the surface of the composite. This makes it a good candidate for dentistry and orthopedic applications.

Statement of problem: Dental caries is one of the most common chronic diseases in children. The balance between demineralization and remineralization of the decayed teeth depends on the calcium and phosphate content of the tooth surface. Therefore, if a product such as casein phospho peptides - amorphous calcium phosphate (CPP- ACP) which can significantly increase the availability of calcium and phosphate in the plaque and saliva should have an anti-caries protective effect.

Objectives: The purpose of this study was to evaluate the concentration of calcium, phosphate and fluoride in the plaque and saliva of children before and after applying the CPP-ACP paste.

Materials and methods: A total of 25 children aged between 6-9 years were selected for this clinical trial study. At first, 1 ml of unstimulated saliva was collected and then 1 mg of the plaque sample was collected from the buccal surfaces of the two first primary molars on the upper jaw. In the next step, CPP-ACP paste (GC Corp, Japan) was applied on the tooth surfaces and then the plaque and saliva sampling was performed after 60 minutes. The amount of calcium ions was measured by Ion meter instrument (Metrohm Co, Swiss) and the amounts of phosphate and fluoride ions were measured by Ion Chromatography instrument (Metrohm Co, Swiss). Data were analyzed using paired t-test at a p < 0.05 level of significance.

Results: There were statistically significant differences in the calcium and phosphate concentration of the saliva and plaque before and after applying the CPP-ACP paste. There were also statistically significant differences in the fluoride levels of the plaque before and after applying the CPP-ACP paste. However, there were no statistically significant differences in the fluoride levels of the saliva before and after applying the CPP-ACP paste.

Conclusions: In this study, the use of the CPP-ACP paste significantly increased the fluoride levels of the plaque and the calcium and phosphate levels of both saliva and plaque. Hence, CPP-ACP paste can facilitate the remineralization of tooth surfaces and is useful for protecting the primary teeth.

Statement of problem: Impacts and accidents are considered as the main fac- tors in losing the teeth, so the analysis and design of the implants that they can be more resistant against impacts is very important. One of the important nu- merical methods having widespread application in various fields of engineering sciences is the finite element method. Among its wide applications, the study of distribution of power in complex structures can be noted.

Objectives: The aim of this research was to assess the geometric effect and the type of implant thread on its performance; we also made an attempt to determine the created stress using finite element method.

Materials and methods: In this study, the three dimensional model of bone by using Cone Beam Computerized Tomography (CBCT) of the patient has been provided. The implants in this study are designed by Solid Works software. Loading is simulated in explicit dynamic, by struck of a rigid body with the speed of 1 mm/s to implant vertically and horizontally; and the maximum level of induced stress for the cortical and trabecular bone in the ANSYS Workbench software was calculated.

Results: By considering the results of this study, it was identified that, among the designed samples, the maximum imposed stress in the cortical bone layer occurred in the first group (straight threads) and the maximum stress value in the trabecular bone layer and implant occurred in the second group (tapered threads).

Conclusions: Due to the limitations of this study, the implants with more depth thread, because of the increased contact surface of the implant with the bone, caused more stability; also, the implant with smaller thread and shorter pitch length caused more stress to the bone.

Statement of problem: As a physical property, wear resistance of the materials used in the fabrication of orthodontic retainers play a significant role in the stability and long term use of the appliances.

Objectives: To evaluate the wear resistance of two commonly used materials for orthodontic retainers: Acropars OP, i.e. a polymethyl methacrylate based material, and 3A-GS060, i.e. a polyethylene based material.

Materials and methods: For each material, 30 orthodontic retainers were made according to the manufacturers' instructions and a 30×30×2 mm block was cut out from the mid- palatal area of each retainer. Each specimen underwent 1000 cycles of wear stimulation in a pin on disc machine. The depth of wear of each specimen was measured using a Nano Wizard II atomic force microscope in 3 random points of each specimen's wear trough. The average of these three measurements was calculated and considered as mean value wear depth of each specimen (µm).

Results: The mean wear depth was 6.10µm and 2.15µm for 3A-GS060 and Acropars OP groups respectively. Independent t-test showed a significant difference between the two groups (p < 0.001). The results show Polymethyl methacrylate base (Acropars) is more wear resistance than the polyethylene based material (3A-GS060).

Conclusions: As the higher wear resistance of the fabrication material can improve the retainers' survival time and its cost-effectiveness, VFRs should be avoided in situations that the appliance needs high wear resistance such as bite blocks opposing occlusal forces.

Fixed dental prosthesis success requires appropriate impression taking of the prepared finish line. This is critical in either tooth supported fixed prosthesis (crown and bridge) or implant supported fixed prosthesis (solid abutment). If the prepared finish line is adjacent to the gingival sulcus, gingival retraction techniques should be used to decrease the marginal discrepancy among the restoration and the prepared abutment. Accurate marginal positioning of the restoration in the prepared finish line of the abutment is required for therapeutic, preventive and aesthetic purposes. In this article, conventional and modern methods of gingival retraction in the fixed tooth supported prosthesis and fixed implant supported prosthesis are expressed. PubMed and Google Scholar databases were searched manually for studies on gingival tissue managements prior to impression making in fixed dental prosthesis since 1975. Conclusions were extracted and summarized. Keywords were impression making, gingival retraction, cordless retraction, and implant. Gingival retraction techniques can be classified as mechanical, chemical or surgical. In this article, different gingival management techniques are discussed.

Statement of problem: Accumulation of plaque and staining due to a rough surface, and penetration of colourant agents from food and beverages in to the resin composite results in an incomplete polymerization. There is a little information on the effect of finishing and polishing techniques on the discoloration of nanohybrid and microhybrid composites when exposed to staining solutions.

Objectives: To determine the degree of surface staining of nanohybrid and microhybrid composites after polishing and immersion in distilled water and two commonly used staining solutions.

Materials and methods: A nanohybrid (Ice; SDI) and microhybrid (Gradis direct; GC) composites were used. Disc-shaped specimens were prepared and treated with either a matrix finish or polished using Sof-Lex discs (3M/ ESPE) and Enhance point (Dentsply). After 24 h immersion in distilled water at 37°C the specimens were polished and colour coefficients (CIE L* a* b*) was measured by a spectrophotometer. All specimens were immersed in 37°C distilled water in an incubator for 7 days and colour coefficients were measured again. The colour change (ΔE) was calculated using the following formula: ΔE = [(Δa)²+(Δb)²+(ΔL)²] ^1/2. The data were analyzed using three-way ANOVA, one-way ANOVA/Tukey HSD and Student's t-test.

Results: There was a significant interaction between resin composites, polishing systems and staining solutions (p < 0. 05). ANOVA and Tukey's tests showed that Ice had a significantly lesser colour change than Gradia direct and matrix finish revealed the smoothest surface followed by Sof-Lex discs and Enhance point. Distilled water and cola caused no perceptible colour change (ΔE < 3.3). The effect of surface polish on staining was statistically significant (p < 0 .05).

Conclusions: Sof-Lex discs in comparison to Enhance point stimulated greater staining resistance for both composites. The nanohybrid exhibited less colour change than microhybrid composite. Coffee was the only storage media that induced a perceptible colour change (ΔE > 3.3) compared to cola and distilled water.

Statement of problem: Root surface contamination or infection can potentially change the consequences of regenerative periodontal therapies and therefore the modification and disinfection of the contaminated root surfaces are necessary.

Objectives: This study aimed to compare the surface characteristics of the extracted human teeth after exposure to four root conditioners in different time periods.

Materials and methods: The study samples were prepared from 40 freshly extracted teeth including 20 affected teeth with periodontal diseases and 20 healthy teeth. After performing root planning, 240 dentinal block samples were prepared and each affected and healthy sample was randomly allocated to receive one of the following root conditioners; Ethylenediaminetetraaceti acid (EDTA), citric acid, doxycycline, and tetracycline or rinsed with normal saline as the control agent. The prepared specimens were evaluated using scanning electron microscope and the inter-group differences and changes in study indices; dentin (%), tubular spaces (%), and diameter of dentinal tubules (μm²) were compared using one-way ANOVA test.

Results: In the control group receiving normal saline, the changes in the indicators of dentin, tubular spaces, and diameter of dentinal tubules remained insignificant in all time periods. EDTA, citric acid, and tetracycline had chelating effects on the study indices; however, doxycycline led to gradual decrease of the tubular space and diameter as well as increase in dentin percentage.

Conclusions: In different time intervals and when considering healthy or affected tooth surfaces, the effect of conditioning agents could be different. Amongst the four agents used, EDTA and tetracycline consistently increased the diameter of tubules and percentage of patent tubules in both healthy and diseased teeth.

Statement of problem: Chemo-mechanical caries removal is an effective alternative to the traditional rotary drilling method. One of the factors that can influence micro-leakage is the method of caries removal.

Objectives: To compare the micro-leakage of resin composite in primary dentition using self-etch and all-in one adhesives following conventional and chemo-mechanical caries removal.

Materials and methods: Sixty extracted human primary anterior teeth with class III carious lesions were collected. The selected teeth were divided randomly into two groups each consisting of 30 teeth. In group1 carious lesions were removed using Carisolv multi mix gel. In group 2, caries was removed using round steel burs in a slow-speed hand piece. Then, the specimens in each group were randomly divided into two subgroups (A and B) of 15 and treated by either Clearfil SE Bond (CSEB) or Scotch bond. All prepared cavities were filled with a resin composite (Estellite). All the specimens were stored in distilled water at 37ºC for 24 hours and then thermocycled in 5ºC and 55ºC water with a dwell time of 20 seconds for 1500 cycles. The specimens were immersed in 1% methylene blue solution for 24 hours, removed, washed and sectioned mesiodistally. The sectioned splits were examined under a stereomicroscope to determine the micro-leakage scores. The data were analyzed using Kruskal-Wallis Test in SPSS version 21.

Results: There were no significant differences between micro-leakage scores among the four groups (p = 0.127). Score 0 of micro-leakage was detected for 60% of the specimens in group 1-A (Carisolv + CSEB), 73% of the group 2-A (hand piece + CSEB), 80% of the group 1-B (Carisolv + Scotch bond), and 93% of the group 2-B in which caries was removed using hand piece and bonded with Scotch bond .

Conclusions: Although caries removal using hand piece bur along with using Scotch bond adhesive performed less micro-leakage, it would seems that the use of Carisolv doesn't adversely affect the micro-leakage of composite restorations while using self-etch or all-in one adhesives.