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Aim: To evaluate the effectiveness of ultrasonic activation of bleaching agents during ex vivo internal bleaching., Methodology: Fifty canine human teeth were artificially stained, root filled and divided into five groups (n = 10) that received SP - sodium perborate plus deionized water (control group), CP - 37% carbamide peroxide gel, CPUS - 37% carbamide peroxide gel plus ultrasonic application, HP - 35% hydrogen peroxide gel or HPUS - 35% hydrogen peroxide gel plus ultrasonic application. In groups CP and HP, the bleaching agent was left inside the pulp chamber for three applications of 10 min. In groups CPUS and HPUS, the same process was performed, but ultrasonic vibration was applied to the bleaching agent by an alloy tip for 30 s, with 30 s intervals. Two sessions were performed. The colour was measured initially and after each session by an intraoral dental spectrophotometer. The variation (Δ) of the colour parameters based on the CIELab system L*, a* and b*, and the colour alteration ΔE* were calculated after first and second section. Data were analysed by one-way anova and Tukey's test., Results: There was no significant difference amongst groups for ΔL*, Δa* and ΔE*, but there was a significant difference for Δb* in the first and second sessions (P = 0.0006 and 0.0016, respectively). After the first session, Δb* was significantly greater for groups HP and HPUS, without a significant difference between them. For the second session, group HPUS had the greatest Δb* values, but they were similar to groups HP and SP; group CP had the lowest values, which were similar to groups CPUS and SP., Conclusion: Ultrasonic activation of bleaching agents during ex vivo internal bleaching was no more effective than conventional internal bleaching procedures, without activation., (© 2012 International Endodontic Journal.)

Aim: To examine the dislocation resistance of three root canal sealers from radicular dentine with and without immersion in a simulated body fluid (SBF), using a modified push-out test design that produced simulated canal spaces of uniform dimensions under identical cleaning and shaping conditions., Methodology: Sixty single-rooted caries-free human canine teeth were used. Standardized simulated canal spaces were created using 0.04 taper ProFile instruments along the coronal, middle and apical thirds of longitudinal tooth slabs. Following NaOCl/ethylenediamine tetra-acetic acid cleaning, the cavities were filled with ProRoot Endo Sealer, AH Plus Jet or Pulp Canal Sealer. After setting, half of the cavities were tested with a fibre-optic light-illuminated push-out testing device. The rest were immersed in SBF for 4 weeks before push-out evaluation. Failure modes were examined with stereomicroscopy and field emission (FE)-scanning electron microscopy., Results: Location of the sealer-filled cavities did not affect push-out strengths. ProRoot Endo Sealer exhibited higher push-out strengths than the other two sealers particularly after SBF storage (P < 0.001). Failure modes were predominantly adhesive and mixed for Pulp Canal Sealer and AH Plus Jet, and predominantly cohesive for ProRoot Endo Sealer. Spherical amorphous calcium phosphate-like phases that spontaneously transformed into apatite-like phases were seen in the fractured specimens of ProRoot Endo Sealer after SBF storage., Conclusions: When tested in bulk without a main core, both 'sealer type' and 'SBF storage' were significant in affecting push-out results. The ProRoot Endo Sealer demonstrated the presence of spherical amorphous calcium phosphate-like phases and apatite-like phases (i.e. ex vivo bioactivity) after SBF storage.

This in vitro study evaluated the effect of a prolonged erosive pH cycling on the superficial microhardness change (SMHC) and the erosive wear of different restorative materials. Eighty enamel specimens with prepared cavities of 1.5 x 1.5 mm were randomly divided into eight groups according to the restorative materials used for the fillings (RMGI - resin-modified glass-ionomer, CGI - conventional glass-ionomer, CR- composite resin, A - amalgam) and immersion media used (ERO - erosive medium or SAL - artificial saliva). During 35 days, half of the specimens were immersed in a cola drink (ERO), for 5 min, three times a day, and they remained in SAL between the erosive cycles. The other half of the specimens was immersed in SAL only, for the entire experimental period (control). Data were tested for significant differences by anova and Tukey's tests (P < 0.05). Scanning electron microscopy images were made to illustrate the enamel erosive wear and restorative materials alterations. The mean SMHC (%) and mean erosive wear (mum) of the materials were: RMGI-ERO (30/0.5); CGI-ERO (37/0.5); CR-ERO (-0.3/0.3); A-ERO (-4/0.3); RMGI-SAL (4/0.4); CGI-SAL (-6/0.4); CR-SAL (-3/0.2) and A-SAL (2/0.4). Scanning electron microscopy images showed pronounced enamel erosive wear on groups submitted to erosive pH cycling when compared with groups maintained in saliva. In conclusion, the prolonged pH cycling promoted significantly higher alterations (SMHC and erosive wear) on the glass-ionomer cements than the CR and amalgam.

The study aimed to compare the dentine wear of primary and permanent human and bovine teeth because of erosion/abrasion and evaluate if bovine dentine is an appropriate substitute for human dentine in further erosion/abrasions tests. Dentine samples from deciduous molars and human third molars as well as from calves' and cattle's lower incisors were prepared and baseline surface profiles were recorded. Each day all samples were demineralized in 1% citric acid, tooth brushed with 100 brushing strokes with toothpaste slurry and stored in artificial saliva for the rest of the day. This cycle was run for 20 days. Afterwards, new surface profiles were recorded and dentine wear was calculated by a customized computer program. Dentine wear because of erosion/abrasion was not statistically, significantly different for human third molars and cattle's lower incisors (P = 0.7002). The dentine wear because of erosion/abrasion of deciduous molars and calves' lower incisors was significantly different (P < 0.0000). No statistically significant difference in the dentine wear of human third molars and cattle's lower incisors was observed, so that the use of cattle's lower incisors as substitute for adult human teeth for further investigations in erosion/abrasion studies could be accepted.

Aim: To evaluate the hypothesis that food-borne viable Enterococcus faecalis cells could enter the root canal space via coronal leakage., Methodology: In a simulated oral environment under mastication the capacity of a calcium sulphate-based temporary filling material (Cavit W) to prevent leakage of E. faecalis from a cheese through the endodontic access cavity into the pulp chamber was assessed. Standardized class I access cavities were prepared in human maxillary molars. These were filled with Cavit of either 2 or 4 mm thickness (n=16, each). Empty access cavities served as positive, teeth filled with a light-curing composite material acted as negative controls (n=8, each). A cheese containing viable E. faecalis cells was placed on the occlusal aspects of test and control teeth, which were subsequently subjected to 680 mastication loads per day for 1 week in a masticator device perfused with artificial saliva at 37 degrees C. Leakage of E. faecalis from the cheese into the pulp chamber was assessed by culture on a kanamycin aesculin azide agar and compared between groups using Fisher's exact test., Results: All of the positive controls showed pure growth of E. faecalis. In addition, one of the negative control teeth leaked. The 4 mm application of Cavit prevented leakage of E. faecalis significantly better than the corresponding 2 mm application: 1 of 16 specimens compared with 6 of 16 specimens had leakage, respectively (P<0.05)., Conclusions: The current results substantiate the suspicion that food-derived microbiota could enter the necrotic root canal system via microleakage.

Remineralization might be hampered by various polymers used in saliva substitutes. Thus, the present study evaluated the effects of various calcium and phosphate concentrations of linseed-based solutions on the mineral loss of pre-demineralized bovine enamel in vitro. A commercially available saliva substitute (Salinum) based on linseed was tested as well. Enamel specimens were prepared from bovine incisors and embedded in epoxy resin. One-third of each sample was covered with nail varnish (control of sound enamel). After demineralization (37 degrees Celsius; pH 5.0; 14 days) another third of the samples was nail-varnished again. Subsequently, the specimens (n = 10) were exposed to 12 linseed-based solutions (Ca(2+) addition 0-2 mM; PO4(3-) addition 0-3.2 mM) at pH 5.5 and 6.5 as well as to Salinum) for 14 days (37 degrees Celsius). The differences in mineral loss between the values prior to and after the storage in the various solutions were evaluated from microradiographs of thin sections (100 mum). The general linear model revealed a significant dependency for the mineral loss on 'calcium' (P = 0.003), but not on 'pH' (P = 0.397) and 'phosphate' (P = 0.094). Salinum) induced a significant greater mineral loss compared with equivalently saturated solutions (P < 0.05; anova, Bonferroni). The solution with the highest calcium and phosphate concentration showed the greatest mineral gain (P = 0.033; paired t-test). The addition of calcium and phosphate seems to have a positive effect on the remineralizing qualities of linseed-based saliva substitutes.

Aim: To (i) determine the effect of nonvital bleaching with 10% carbamide peroxide on the sealing ability of resin composite restorations bonded with a self-etching adhesive system; and (ii) compare the effects of antioxidant treatment and delayed restoration after bleaching on marginal seal., Methodology: Forty-eight noncarious maxillary incisors were divided into four groups (n=12) after conventional root canal treatment was completed. In group 1, access cavities were restored with a self-etching adhesive system and resin composite. In the remaining three groups, 10% carbamide peroxide bleaching gel was placed into the access cavities for periods of 8 h per day for 1 week. They were then restored in the same manner as group 1. Group 2 consisted of specimens restored immediately after bleaching. Group 3 specimens were treated with the antioxidant, 10% sodium ascorbate, whereas group 4 specimens were immersed in artificial saliva for 1 week before restoration. Ten specimens in each group were then subjected to dye leakage; the remaining 2 specimens were examined in a SEM (Jeol/JSM 5200, Tokyo, Japan). The dye penetration was assessed with the standard scoring system. Statistical analysis was carried out using the Kruskal-Wallis and the Mann-Whitney tests., Results: Groups 1, 3 and 4 exhibited similar leakage patterns and significantly less leakage than group 2 (P<0.0083). SEM examination of groups 1, 3 and 4 specimens demonstrated close adaptation of resin composite to cavity walls, whereas group 2 specimens did not., Conclusion: Nonvital bleaching with 10% carbamide peroxide adversely affected the immediate sealing ability of resin composite restoration; both 10% sodium ascorbate treatment and a 1-week delay in restoration following bleaching improved the reduced sealing ability of resin composite.

Aim: To compare the weight loss of eight different root-canal sealers in water and in artificial saliva with different pH values., Methodology: For standardized samples (n = 12 per group), ring moulds were filled with epoxy resin (AH 26, AH Plus)-, silicone (RSA RoekoSeal)-, calcium hydroxide (Apexit, Sealapex)-, zinc oxide-eugenol (Aptal-Harz)-, glass-ionomer (Ketac Endo)- and polyketone (Diaket)-based sealers. These samples were immersed in double-distilled water or artificial saliva with different pH values (7.0, 5.7 and 4.5) for 30 s, 1 min, 2 min, 5 min, 10 min, 20 min, 1 h, 2 h, 10 h, 24 h, 48 h, 72 h, 14 days and 28 days. Mean loss of weight was determined and analysed statistically using a one-way anova and Student-Newman-Keuls test for all pairwise comparisons., Results: Most sealers were of low solubility, although Sealapex, Aptal-Harz and Ketac Endo showed a marked weight loss in all liquids. Even after 28 days of storage in water, AH 26, AH Plus, RSA RoekoSeal, and Diaket showed less than 3% weight loss. At exposure times greater than 14 days, Sealapex showed the significantly greatest weight loss of all sealers tested (P < 0.05). Aptal-Harz and Ketac Endo were significantly more soluble in saliva (pH 4.5) than in water (P < 0.05)., Conclusions: Under the conditions of the present study, AH Plus showed the least weight loss of all sealers tested, independent of the solubility medium used. Sealapex, Aptal-Harz and Ketac Endo had a marked weight loss in all liquids.

We studied changes in the hardness, relaxation modulus [Er(t)], and weight change ratio (Wc) of experimental photo-activated acrylic soft lining materials (EPLs) stored in three aqueous solutions [distilled water (DW), physiological saline solution (PS), and artificial saliva (AS)] at 37 degrees C for 8 weeks. The hardness of the EPLs increased markedly during the first 4 days of storage, and subsequently changed little. The greatest hardness occurred in the EPL specimen containing the largest amount of ethanol (Et). The relaxation modulus [Er(8)] of the EPLs ranged from 1.35 to 1.66 MPa immediately before storage, and from 1.43 to 2.21 MPa after an 8-week immersion. Like hardness, the increase in [Er(t)] was greatest when the EPL contained large amounts of Et. The Wc ranged from 0.118 to 0.661% after storage for 8 weeks, and increased most for the EPL specimen containing the smallest amount of Et. Furthermore, 3-7 days after the start of immersion many hollows were observed in the surface of specimens with a high Et content. The results indicate that Wc and hollow formation are sensitive to the Et content of the EPL, and that Et content is closely tied to the change in hardness and relaxation modulus with time.

The chemical environment is one aspect of the oral environment, which could have an appreciable influence on the in-vivo degradation of composite resins. The resin matrix can be softened and fillers constituents can be leached out when composites are exposed to certain chemicals/food-simulating liquids (FSLs). A reciprocal compression sliding wear device was used to study the effects of the chemical environment on occlusal contact area (OCA) wear of four composite restoratives (Silux Plus, Z100, Ariston pHc and Surefil). The effects of FSL on hardness was also investigated and correlated to wear. Thirty-six hardness/wear specimens of each material were made and stored in artificial saliva at 37 degrees C for 24 h. The specimens were then divided into six groups of six specimens and stored in the following FSL for 1 week at 37 degrees C: distilled water (W), 0.02 N citric acid (C), 0.02 N lactic acid (L), heptane (H) and 75-25% ethanol-water solution (E). Conditioning in artificial saliva (S) was used as control. After conditioning, the specimens were wear tested at 20 MPa contact stress against SS304 counter-bodies in the respective FSL/artificial saliva up to 20 000 cycles. Wear depth (lm, n=6) was measured using profilometry. Change in hardness (DeltaKHN, Knoop hardness number) was determined by microhardness testing pre- and post-conditioning. Results of statistical analyses (ANOVA/Scheffe's at significance level 0.05) of wear data were as follows: Silux - S, W > L, H, E and C, L > H; Z100 - S, W > all other mediums and E > H; Ariston - all other mediums > H; Surefil - W, C > S, L, H, E (> indicates significantly more wear). With the exception of Surefil, the greatest wear was observed with conditioning and wear testing in water. This ranged from 93.18 +/- 21.96 lm for Z100 to 31.43 +/- 2.80 lm for Surefil. For all materials, conditioning in heptane resulted in the least wear. This ranged from 8.9 +/- 2.2 microm for Ariston to 16.5 +/- 5.9 lm for Silux. The effects of the different FSL on OCA wear were material dependent. No correlation was observed between DeltaKHN and wear.

The chemical environment is one aspect of the oral environment, which could have an appreciable influence on the in vivo degradation of composite restoratives. The effects of chemical media on surface hardness of four composite restoratives (Silux [SX], Z100 [ZO], Ariston [AR] and Surefil [SF]) were investigated. The relationship between hardness and the thickness of the degradation layer was also studied. Thirty six specimens (3 x 4 x 2 mm) were made for each material. Following polymerization, the specimens were stored in artificial saliva at 37 degrees C for 24 h. The specimens were then randomly divided into six groups of six, subjected to microhardness testing (load = 500 gf, dwell time = 15 s) and stored in the following chemicals for 1 week at 37 degrees C: artificial saliva (S), distilled water (W), 0.02 N citric acid (C), 0.02 N lactic acid (L), heptane (H) and 75-25% ethanol-water solution (E). After conditioning, the specimens were again subjected to hardness testing and sectioned. Change in hardness (DH) was computed and the thickness of the degradation layer (DL) was measured using a computerized image analysis system at 600x magnification. Results of statistical analysis (ANOVA/Scheffe's [P < 0.05]) of DH based on materials were as follows: SX - E > all other mediums; ZO - W > C; and AR - S, W, E > H (> indicates significantly greater hardness change). No significant difference in DH was observed between the different chemicals for SF. The effects of chemical media on DH were found to be material dependent. A significant but weak positive correlation (Pearson's correlation [P < 0.05]) exists between change in hardness and thickness of the degradation layer.

Objectives: The aim of this study was to compare the microleakage of a filled sealant with a drying agent (UltraSeal XT plus), a filled sealant (Prismashield) and an unfilled sealant (Delton), after conventional, bur, and air-abrasion tooth preparation techniques., Setting: The study was completed in a clinical setting at the Simulated Practice Environment Clinic, School of Dentistry, University of Western Ontario, London, Ontario, Canada., Sample and Methods: One hundred and eighty extracted teeth were cleaned and divided randomly into three groups. Group 1 was prepared using acid etch only. Group 2 was prepared with a 1/4 round bur in a low-speed handpiece followed by acid etching. Group 3 was prepared with high speed (120PSI) microabrasion using 27 microm alpha-alumina particles in a Midwest Airtouch unit. The teeth in each group were randomly assigned to one of the three subgroups according to the sealant applied. Subgroup A was sealed with a filled sealant with drying agent, B with a filled sealant only, and C with an unfilled sealant. All teeth were stored in artificial saliva for 7 days at 37 degrees C. After this, the teeth were coated with nail varnish 1 mm from the sealant and immersed in 1% methylene blue dye for 48 h at 37 degrees C. Each tooth was sectioned at four locations buccolingually and a total of 665 sections were ranked (0-3) for microleakage. Statistical analysis was completed using the Chi-squared test and Fisher's exact test., Results: UltraSeal XT plus, the filled sealant with drying agent, showed significantly less microleakage than the other two sealants (P < 0.05). Delton, the unfilled sealant, showed significantly less microleakage than Prismashield, the filled sealant (P < 0.05). Air abrasion with acid etch showed significantly less microleakage than either bur with acid etch or acid etch alone. There was however, no significant difference between the bur and acid etch tooth preparations (P < 0.05)., Conclusions: UltraSeal XT plus was the most effective sealant for preventing microleakage in this study. The most successful method of preparation was air abrasion with acid etch.

Aim: The aim of this study was to develop an in vitro model to replicate microbial microleakage at a tooth/ restoration interface using a constant depth film fermentor (CDFF)., Methodology: Amalgam restorations were placed in machined bovine dentine cylinders and sealed externally with varnish, leaving a 1-mm perimeter exposed around the tooth/restoration interface. The dentine cylinders were housed in a CDFF and 300-microm thick microcosm dental plaques were grown over their exposed surfaces. The biofilms were maintained with a mucin-containing artificial saliva for up to 8 weeks. Cylinders were aseptically removed from the CDFF (at 1, 2, 4, & 8 weeks) and surface-decontaminated with validated protocols prior to splitting and sampling of apposing amalgam and dentine surfaces. Scanning electron microscopy (SEM) was used to ascertain the position and structure of the bacterial aggregates. Bacterial viability was determined by vital staining of the bacteria in situ., Results: At all sampling times, SEM showed cocci, rods and filaments on both amalgam and dentine surfaces; some originated as cascades from the surface biofilm and extended into the tooth/restoration microspace. Vital staining showed the majority of bacteria from both dentine and amalgam surfaces to be viable., Conclusion: This preliminary investigation showed that the CDFF may be a valuable tool for the in vitro study of the dynamics of microbial microleakage around dental restorations.

The erosive potentials of a number of commercially available artificial saliva substitutes have been investigated using an in vitro hydroxyapatite powder dissolution assay. Most of the saliva substitutes examined did not show any appreciable erosive potential, although one product resulted in greater mineral dissolution levels. There appeared to be little correlation between pH and mineral dissolution levels for the different saliva substitutes examined. Whilst saliva substitutes may be of assistance in maintaining some physiological function in patients with impaired salivary flow, it is important to choose a product with low erosive potential where the natural dentition is present.

Titanium (Ti) is thought to be a highly biocompatible material, and its clinical applications are becoming increasingly frequent. However, there have recently been some clinical papers reporting hypersensitivity and allergic reactions to Ti. The purpose of this study was to assess the corrosive properties of Ti in the intra-oral environment in vitro. Cast pure Ti specimens were immersed in artificial saliva, physiological saline solution, and 128 mmol x L(-1) of lactic, formic and acetic acids for 3 weeks at 37 degrees C with shaking. The colour, weight, surface morphologies and chemical binding state of specimens were observed before and after immersion. Marked discoloration was recognized on the surface of specimens immersed in formic acid, and a significant difference was found between the immersion solutions. Weight changes also varied with solutions; a tendency to increase in formic acid and to decrease in lactic acid. A slight loss was observed in specimens immersed in lactic acid and artificial saliva. The oxide layer composed mainly of Ti-oxide on the surface of the immersed specimens was thinnest in lactic acid, and thickest in formic acid. The present study indicates that both hydrogen evolution type and oxygen diffusion type corrosion on Ti surfaces are possible in the living body. (Our results also confirm some clinical studies reporting Ti accumulation in surrounding tissues and Ti causing allergic reactions.)

The objective of this study was to determine long term release of fluoride from a resin-modified glass-ionomer cement (RMGIC) (Fuji II LC (FLC)) compared with that from two conventional acid-base setting cements (HiDense (HD) and KetacSilver (KS)) marketed for similar restorative purposes. Fluoride release from discs of cement immersed in water or artificial saliva was measured for 2.7 years using an ion selective electrode technique. The RMGIC was affected by water if immersed immediately after setting. This is similar to conventional acid-base cements and the experimental method was designed to allow for this. Over the 2.7-year period, the RMGIC and HD released similar amounts of fluoride into both water and artificial saliva. In water, the RMGIC released the most fluoride, while in artificial saliva the highest release was from HD. KS released the least amount of fluoride in both immersing liquids. In artificial saliva, release was reduced to 17-25% of that found in water, with the RMGIC showing the greatest reduction. Both acid-base cured cements showed changes in colour over the 2.7-year span, while the colour of the RMGIC was stable. It was concluded that the RMGIC released equivalent or greater amounts of fluoride than the two acid-base cure glass-ionomers over a period of 2.7 years.

This in vitro study evaluates the degradation of repaired denture bases upon immersion in a simulated oral fluid. Denture base materials (Luciton 199), after being repaired by Repair Material and Triad, using three different joint surface designs (butt, round and 45 degrees bevel), were immersed onto 99.5 vol.% ethanol/water solution (with similar solubility parameter) for various amounts of time (0-72 h). The flexural loads of the six combination of groups were measured by the three-point bending tests using a universal testing machine. Acoustic emission (AE) during sample fracturing were processed using the MISTRA 2001 system. The fracture pattern and surface details of the interface were examined with a scanning electronic microscope (SEM). Data were analysed using three-way ANOVA and Tukey LSD tests. SEM micrographs of the fracture interface were used to differentiate the fracture mode. The flexural loads (2.72 +/- 0.51 Kgf) of the round joint specimens were significantly higher (P< 0.05) than those (butt: 1.66 +/- 0.38 Kgf, 45 degrees bevel: 1.93 +/- 0.41 Kgf) of the other two designs. This corresponds to the microscopic examination in which more cohesive failure mode was found for the round joint group after storage. The flexural loads (2.54 +/- 0.39 Kgf) of the specimens repaired with Triad were significantly higher (P < 0.05) than those (1.59 +/- 0.40 Kgf) of specimens repaired with Repair Material. Significant progressive reduction of the flexural load and/or AE signals of the specimens was noted in proportion to the length of time of the immersion in the simulated oral fluid. Mechanical strength of a denture base repaired with a round joint design and light-cured material is significantly higher after immersion in simulated oral fluid.

The objective of the study was to compare the potential for fluoride recharge of two glass-ionomer cements, a resin-modified glass-ionomer cement, a compomer and a fluoride-containing composite in artificial saliva. Disc samples of each of the materials were placed into artificial saliva. The fluoride content of the artificial saliva was determined at various intervals up to 57 days. The discs were subjected to a 2 min exposure of NaF (500 parts/106). This recharge procedure was repeated at 64 and 120 days. The fluoride release was measured before and after recharge. The fluoride release for all of the materials increased after each exposure to NaF; however, the amount for the composite was very low. The resin-modified glass-ionomer cement displayed the greatest potential for fluoride recharge at 57 and 64 days (P<0.05). By 120 days, the amount of fluoride released in the 24 h post-recharge interval had decreased in all the materials. All the materials showed a potential for fluoride recharge. This effect, however, was minimal in the fluoride-containing composite.

The purpose of this study was to compare the fracture resistance of four posterior restorations involving an entire cusp replacement. Four groups were established, each containing eight caries-free mandibular molars, similar in size and anatomic form. A mesio-occlusal preparation including the lingual cusp was prepared on all teeth. Group A were restored with a pin-retained amalgam. Group B were restored with amalgam and a meta adhesive. Group C were restored with a composite resin with a beta-glass quartz insert. Group D were restored with composite resin and a HEMA adhesive. All specimens were mounted in acrylic and stored in artificial saliva for 30 days. Each specimen was loaded in compression at a 90 degrees angle in an Instron testing machine with a crosshead speed of 0.5 cm/min. Results demonstrated the mean (SD) failure loads in kilograms for each group to be: A, 1155 (388); B, 1232 (436); C, 1345 (375); D, 1595 (373). Analysis of variance indicated no significant difference among groups at P<0.05. Although the values for the composite resin restoration with the adhesive were higher than the other restorative techniques.

The influence of temperature, duration of exposure, and enamel type on the development and progression of dental erosion has been determined. Three experiments were devised as follows. Eroded lesions were produced on enamel samples with orange juice: (1) at different temperatures; (2) for different lengths of time; and (3) on bovine permanent, human deciduous and human permanent enamel. Lesion parameters (mineral loss and lesion depth) were quantified using transverse microradiography. Both lesion parameters were significantly lower at 4 degrees C when compared with 20 degrees C and 37 degrees C, and at 20 degrees C when compared with 37 degrees C. Lesion parameters increased significantly as the length of exposure increased, and were positively correlated (r=0.98, P<0.05) to the exposure time. Both parameters were significantly greater in bovine enamel than human permanent and deciduous enamel, and in human deciduous than permanent enamel. Lesion progression, as measured by mineral loss, was in the ratio 2.0:1.5:1.0 for bovine:human deciduous:human permanent, and by lesion depth, 1.7:1. 3:1.0. In conclusion, the erosiveness of orange juice was less pronounced at a lower temperature, and increased with an increased exposure time. Erosion progressed twice as fast in bovine permanent than in human permanent enamel, and 1.5 times more rapidly in human deciduous than in permanent enamel.

The objective of the study was to compare the amounts of fluoride released by two glass-ionomer cements, a resin-modified glass-ionomer cement, a compomer and a fluoride-containing composite into deionized water and artificial saliva. Disc samples of each of the materials were fabricated and placed in either water or artificial saliva. Fluoride analysis of the media was performed periodically over 64 days. The data were analysed to show the rate of fluoride release per cm2 per hour for each material. The results showed that the fluoride release rate for all the materials in both solutions decreased dramatically after 24 h. The release rate in artificial saliva was significantly less than in water (P < 0.001). The resin-modified glass-ionomer cement consistently displayed the highest fluoride release rate per hour into both media.

Due to its excellent biocompatibility and good mechanical properties, titanium has been used successfully in dentistry for many years. In this study, complete dentures with titanium palatal plates were applied to 10 patients who were in need of upper dentures. The clinical performance of cast titanium palatal plates was determined over a period of 6 months. No increase in accumulation of denture plaque nor mucosa irritation was observed. After the above period, the electrochemical corrosion behaviour of cast titanium and chromium-cobalt palatal plates were compared with the titanium plates that were not left in an oral environment after casting. For the electrochemical corrosion tests, a corrosion cell was designed and artificial saliva with lactic acid was used, with the temperature during the tests being about 37 degrees C. The potential difference between the test sample and the saturated calomel electrode was measured, and after the determination of the rest potentials, the anodic potentiodynamic polarization curves were traced at a rate of 1 mV/s. From the standpoint of corrosion, the titanium plates used by the patients for a 6-month period corroded more than the titanium not used by the patients. This may be due to the casting and processing conditions and the effect of the oral environment.

The corrosion tendencies of metals are related with their position in the electromotive series. These electrode potential degrees may change due to the compositions of the alloys, the surrounding media, or due to alterations in the composition because of recurrent casting. Therefore in this research, the electrode potentials and their changes over a period of time were measured in different pH media simulating the oral electrochemical conditions in vitro. The surface structure of the first and second castings of 29 different dental metals and alloys were examined under a scanning electron microscope and their composition in percentage weight was calculated by the Energy-dispersive X-ray Analysor system. Further the current-potential curves of the dental alloys were found by the potentiodynamic method in three different solutions and, in addition, the changes of corrosion potentials over time were also determined. The corrosion rates, corrosion potentials, their changes over time and their cathodic Tafel slopes were determined. All alloys tested showed ion leakage in corrosive media. Titanium exhibited the least, but alloys with tin and cobalt content displayed the greatest corrosion tendencies. Alloys with iron and copper corroded in the acid media, conversely alloys containing chromium, nichel and molybdenum proved to be resistant to corrosion. The recurrent castings were also corrosion resistant.

This study was undertaken to examine whether a relationship exists between the composition of metal-containing glass-ionomer cements and ion release from these materials. Conflicting data on silver release from this type of material has been reported and it was felt that further investigation was desirable in view of the increasing use of these materials. In this study, the release of ions, particularly of silver and fluoride, into deionized water and artificial saliva was measured for up to one year. Low levels of silver and copper ions were found in both media. The amounts released from alloy-containing materials were dependent on the amount of alloy present; lesser amounts were leached from cermets. Fluoride ion release was less material-dependent but still lowest for cermets. The use of artificial saliva reduced ion release as did increasing the maturation time prior to immersion in either liquid.

Microleakage associated with a silver-reinforced restorative glass-ionomer cement (Hi-Dense) used with a composite resin (Z100) in a modified Class II bonded-base technique restoration was evaluated. The influence of long-term artificial saliva storage, thermal and load cycling was also determined. Class II composite (Z100) restorations used with a new dental adhesive system (Scotchbond Multi-Purpose Dental Adhesive) were used as controls. Results showed that the bonded-base technique can reduce the leakage observed with the direct composite technique. Thermocycling decreased the leakage at the composite-enamel interface but had no effect on the leakage at the composite-dentine interface or on the leakage patterns of bonded-base restorations. Load cycling had no significant influence on leakage patterns of either type of restorative mode. Storage in artificial saliva resulted in decreased leakage at the composite-enamel interface but had a minor adverse effect at the glass-ionomer-dentine interface.

Fissure sealants have been used successfully as a means of preventing fissure caries. This effectiveness is directly related to sealant retention and retention is dependent upon a meticulous method of application. The aims of this study were to determine if sealant adhesion and penetration were affected by the variation in preparation of the enamel surface, or by pretreatment of the enamel surface with dentine adhesive systems, in fissures of varying morphology. Non-carious posterior teeth were visually examined and sorted according to fissure type, classified as shallow, deep or intermediate. Occlusal fissures were sealed using one of six methods, thermocycled for 200 cycles between 5 and 55 degrees C, in artificial saliva, then placed in a 1.5% procion orange dye for 3 min. Teeth were sectioned bucco-lingually and examined with a light microscope for (i) penetration of the sealant into the fissure pattern and (ii) adhesion of the sealant. All sealant techniques employed in this study adapted well to the enamel surface as the 1.5% procion Reactive orange dye failed to penetrate any of the sealed tooth sections. Shallow fissures were well obturated in both lateral and vertical dimensions. Sealants adapted well to the vertical walls at the orifice of deep fissures but generally failed to penetrate into the deeper aspects. Reducing the etching period with 37% phosphoric acid resulted in increased voids between the sealant and enamel surface and poorer adaptation to the vertical walls. The addition of dentine adhesive systems, Scotchbond Multi-Purpose and All-Bond 2, enhanced the vertical penetration of the sealant, particularly in deep fissures. It is proposed that the dentine adhesive systems may improve the retention rate of sealants in deep fissures particularly if the fissure is not completely dry prior to resin placement.

The influence of the composition and the casting process upon the electrochemical corrosion of a selection of palladium-based alloys and non-precious metal alloys has been investigated in vitro using an electrochemical method. No influence of the casting process upon the corrosion resistance was observed with palladium-based alloys. Changes in the crystallographic structure effected by the different composition of the alloys were found, the casting process did not cause significant effects. With nickel-chromium alloys rather low corrosion stabilities were observed.

This study evaluated the effect a food simulating solution, 75% v/v ethanol/water, and an artificial saliva, Moi-Stir, have on the microstructure and on the diametral tensile strength (DTS) of three dentine bonding agents (Tenure, Scotchbond Multi-Purpose and Optibond). The microstructure was examined by using a scanning electron microscope (SEM). The DTS data were analysed using ANOVA and the Tukey LSD test. The microstructural observations were compared with changes in DTS. The SEM observation revealed deterioration of all bonding agents due to conditioning in the solutions for 30 days. The different solutions appeared to cause different reactions in the bonding agents. However, these effects may be exaggerated due to the presence of an air-inhibited surface layer. Those conditioned in Moi-Stir showed swelling. The presence of filler particles in the Optibond bonding agent appears to decrease the deterioration resulting from soaking. Materials conditioned in ethanol exhibited both dissolution and thinning. Diametral samples of each bonding material were tested after being conditioned in the above-mentioned solutions for 1, 7, 14 and 30 days. Conditioning significantly decreased the DTS of all bonding agents, except Optibond in Moi-Stir. Filled Optibond maintained its DTS longer than did the two unfilled bonding agents. The decrease in DTS of all the ethanol-conditioned groups is a function of the square root of time (P < 0.001) and conforms to Fick's laws of diffusion. The filled Optibond showed a lower ethanol diffusivity (0.5 x 10(-5) cm2 s-1) than the other two unfilled bonding agent systems (average 1.2 x 10(-5) cm2 s-1) (P < 0.05). The high ethanol diffusivities were thought to be due to the presence of HEMA, a hydrophilic resin, in the bonding agent. These results also suggest that solution uptake occurred through the resin matrix. Filler particles may therefore play an important role in weathering resistance of these materials to oral environment solutions. The physical appearance and strength of dentine bonding agents are significantly altered by exposure to oral environment solutions.

This study examined the effect of a nightguard vital bleaching procedure on enamel surface morphology and the shear bond strength of a composite resin luting cement to enamel. Extracted human teeth were bleached for 1 week using a vital bleaching product. Control teeth were brushed with a fluoride toothpaste and processed similarly to the bleached teeth, however the bleaching product was substituted with artificial saliva in the night guards. Teeth were stored in artificial saliva for 24 h, 1, 6 or 12 weeks and then examined for any surface changes using light and scanning electron microscopy. The effect of etching surfaces with 37% phosphoric acid was examined at the scanning electron microscope level. The shear bond strength of composite resin luting cement to both buccal and lingual surfaces of bleached and control teeth was determined. Light microscopy investigation suggested the bleaching process resulted in a loss of mineral from enamel which was evident 24 h after bleaching and was sustained following 12 weeks storage in artificial saliva. Scanning electron microscopy showed a definite change in the surface texture of the bleached enamel surface. Acid etching of the bleached enamel surface produced loss of prismatic form and the enamel appeared overetched. The mean shear bond strength between composite resin luting cement and etched enamel tended to be lower for bleached enamel surfaces, however no significant difference in shear bond strength was noted between control and experimental groups. The results of this study suggest that bleaching resulted in changes to the surface and subsurface layers of enamel. Although surface changes were observed in the etched enamel, the shear bond strength of composite resin luting cement to etched bleached enamel appeared to be clinically acceptable.

Three commercially available composites (Concise, Occlusin and Heliomolar) had surface finishes of varying roughness. Concise and Occlusin were cured against glass and Mylar, or were polished with a white stone or Soflex discs, producing four different surface finishes. Heliomolar was cured against glass or finished with a Vivadent polisher. Each specimen was immersed in water (without pellicle) or artificial saliva (with pellicle) and photographed with a captive air bubble. The influence of pellicle on contact-angle measurements and hence adhesiveness was determined. Scanning electron microscopy of pellicle-free and pellicle-conditioned surfaces was also performed. The effect of the pellicle on all Concise specimens was profound, tending to increase adhesiveness of the smooth (glass and Mylar) surfaces and decrease adhesiveness of the roughened (white stone and Soflex disc) polished surfaces. The pellicle-conditioned smooth Occlusin surfaces behaved similarly, but not the polished specimens, having similar contact-angle measurements after pellicle deposition. Heliomolar had significantly reduced contact-angle measurements after pellicle formation, and thus increased adhesiveness. The influence of the pellicle on surface finish characteristics may be significant, and may vary according to the composite used.