JOURNAL OF DENTAL BIOMATERIALS
Year:2016 | Volume:3 | Issue:3|Papers Count:6

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 50oC and 100% humidity for one week. The released ions were measured by using a spectrophotometer (mg/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 composite in testing solutions with different pH levels.

Objectives: This in vitro study assessed the effect of green tea extract on shear bond strength of resin composite to in-office and home-bleached enamel.Materials and Methods: In this experimental study, 40 extracted intact human incisors were embedded in cylindrical acrylic resin blocks (2.5×1.5 cm), with the coronal portion above the cemento enamel junction out of the block. Then, after bleaching labial enamel surfaces of 20 teeth with 15% carbamide peroxide 6 hours a day for 5 days, they were randomly divided into two groups: A1 and A2 (n = 10), depending upon whether or not they are treated with antioxidant. Labial enamel surfaces of the remaining 20 teeth were bleached with 38% hydrogen peroxide before being randomly divided into groups B1 and B2 (n = 10), again depending on whether or not the antioxidant was used in their treatment.The experimental groups (A2, B2) were treated with 5% solution of green tea extract before resin composite restoration was done by a cylindrical Teflon mould (5×2 mm). Shear bond strength of the specimens was tested under a universal testing machine (Zwick/Roell Z020). The SBS data were analyzed by using One-way ANOVA and Tukey HSD tests (p<0.05).Results: There were no statistically significant differences between shear bond strength of the control group (A1) and treated group (A2), but there were statistically significant differences between the groups B1 and B2 (p<0.05).Conclusions: Application of antioxidant did not increase the shear bond strength of home-bleached enamel to resin composite but its application increased the shear bond strength of in-office bleached enamel to resin composite.

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: For many years, application of the composite restoration with a thickness less than 2 mm for achieving the minimum polymerization contraction and stress has been accepted as a principle. But through the recent development in dental material a group of resin based composites (RBCs) called Bulk Fill is introduced whose producers claim the possibility of achieving a good restoration in bulks with depths of 4 or even 5 mm.Objectives: To evaluate the effect of irradiation times and bulk depths on the degree of cure (DC) of a bulk fill composite and compare it with the universal type.Materials and Methods: This study was conducted on two groups of dental RBCs including Tetric N Ceram Bulk Fill and Tetric N Ceram Universal. The composite samples were prepared in Teflon moulds with a diameter of 5 mm and height of 2, 4 and 6 mm. Then, half of the samples in each depth were cured from the upper side of the mould for 20s by LED light curing unit. The irradiation time for other specimens was 40s. After 24 hours of storage in distilled water, the microhardness of the top and bottom of the samples was measured using a Future Tech (Japan- Model FM 700) Vickers hardness testing machine. Data were analyzed statistically using the one and multi way ANOVAand Tukey’s test (p=0.050).Results: The DC of Tetric N Ceram Bulk Fill in defined irradiation time and bulk depth was significantly more than the universal type (p<0.001). Also, the DC of both composites studied was significantly (p<0.001) reduced by increasing the bulk depths. Increasing the curing time from 20 to 40 seconds had a marginally significant effect (p£0.040) on the DC of both bulk fill and universal studied RBC samples.Conclusions: The DC of the investigated bulk fill composite was better than the universal type in all the irradiation times and bulk depths. The studied universal and bulk fill RBCs had an appropriate DC at the 2 and 4 mm bulk depths respectively and using the recommended curing time of 40s can led to the slightly better value of DC in both composites.

Statement of Problem: Hemostatic agents may affect the micro-leakage of different adhesive systems. Also, chlorhexidine has shown positive effects on micro-leakage. However, their interaction effect has not been reported yet.Objectives: To evaluate the effect of contamination with a hemostatic agent on micro-leakage of total- and self-etching adhesive systems and the effect of chlorhexidine application after the removal of the hemostatic agent.Materials and Methods: Standardized Class V cavity was prepared on each of the sixty caries free premolars at the cemento-enamel junction, with the occlusal margin located in enamel and the gingival margin in dentin. Then, the specimens were randomly divided into 6 groups (n=10) according to hemostatic agent (H) contamination, chlorhexidine (CHX) application, and the type of adhesive systems (Adper Single Bond and Clearfil SE Bond) used. After filling the cavities with resin composite, the root apices were sealed with utility wax. Furthermore, all the surfaces, except for the restorations and 1mm from the margins, were covered with two layers of nail varnish. The teeth were immersed in a 0.5% basic fuschin dye for 24 hours, rinsed, blot-dried and sectioned longitudinally through the center of the restorations bucco- lingualy. The sections were examined using a stereomicroscope and the extension of dye penetration was analyzed according to a non-parametric scale from 0 to 3. Statistical analysis was performed using Kruskal-Wallis test and Mann-Whitney U-test.Results: While ASB group showed no micro-leakage in enamel, none of the groups showed complete elimination of micro-leakage from the dentin. Regarding micro-leakage at enamel, and dentin margins, there was no significant difference between groups 1 and 2, 1 and 3, and 2 and 3 (p>0.05). A significantly lower micro-leakage at the enamel and dentin margins was observed in group 3, compared to group 6. No significant difference was observed between groups 4 and 5 in enamel (p=0.35) and dentin (p=0.34). Group 6 showed significantly higher micro-leakage, compared to group 4 and 5 (p<0.05).Conclusions: Hemostatic agent contamination had no significant effect on micro-leakage of total- and self-etching adhesive systems. Application of chlorhexidine after the removal of hemostatic agent increased micro-leakage in self-etching adhesives but did not affect when total-etching was used.