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Fluorapatite glass-ceramic (GC) and yttria-stabilized zirconia (YSZ) are two commonly used ceramic materials for dental prosthetic restorations. Fluorapatite GCs are known for their outstanding biocompatibility and aesthetic characteristics, moreover, they can release fluoride ions which have anticaries effect. Nevertheless, they often lack the requisite strength and toughness to withstand high occlusal forces. Conversely, YSZ exhibits remarkable mechanical properties, however, it is susceptible to excessive wear on opposing teeth. To address these limitations, a novel fluorapatite GC-YSZ composite ceramic was designed and formed through vat photopolymerization. The effect of composition ratios of fluorapatite GC particles and YSZ fibers (0˗40 wt% YSZ) on the forming precision, mechanical properties, and tribological compatibility with GC was thoroughly investigated. The results demonstrated that optimal comprehensive performance was achieved when the YSZ fiber content reached 40 wt%, which resulted in a fracture toughness of 1.68 MPa m1/2, marking a 98.8 % increase over pure GC. The specific wear rates of the sample and the antagonistic titanium ball were reduced by 75.6 % and 63.8 %, respectively, compared with GC. In addition, the dimensional accuracy error of the green body was reduced by approximately 44 %. The design and fabrication of GC-YSZ composites offer an approach for developing high-performance all-ceramic dental materials. [ABSTRACT FROM AUTHOR]

Nanozyme materials combine the advantages of natural enzymes and artificial catalysis, and have been widely applied in new technologies for dental materials and oral disease treatment. Based on the role of reactive oxygen species (ROS) and oxidative stress pathways in the occurrence and therapy of oral diseases, a comprehensive review was conducted on the methods and mechanisms of nanozymes and their dental materials in treating different oral diseases. This review is based on literature surveys from PubMed and Web of Science databases, as well as reviews of relevant researches and publications on nanozymes in the therapy of oral diseases and oral tumors in international peer-reviewed journals. Given the unique function of nanozymes in the generation and elimination of ROS, they play an important role in the occurrence, development, and treatment of different oral diseases. The application of nanozymes in dental materials and oral disease treatment was introduced, including the latest advances in their use for dental caries, pulpitis, jaw osteomyelitis, periodontitis, oral mucosal diseases, temporomandibular joint disorders, and oral tumors. Future approaches were also summarized and proposed based on the characteristics of these diseases. This review will guide biomedical researchers and oral clinicians to understand the mechanisms and applications of nanozymes in the therapy of oral diseases, promoting further development in the field of dental materials within the oral medication. It is anticipated that more suitable therapeutic agents or dental materials encapsulating nanozymes, specifically designed for the oral environment and simpler for clinical utilization, will emerge in the forthcoming future. [Display omitted] [ABSTRACT FROM AUTHOR]

Develop a sustainable bovine hydroxyapatite dental ceramic with the addition of titanium dioxide (TiO 2) nanoparticles (5 % and 8 % by weight), analyzing the outcome of this addition to the microstructure, as well as its mechanical and chemical properties, in order to evaluate whether they satisfy the International Organization for Standardization (ISO) 6872:2015 for dental ceramics or not. Disks were obtained through uniaxial followed by isostatic pressing from bovine hydroxyapatite powder and TiO 2 nanoparticles and sintered at 1300ºC for 2 h. Three experimental groups were developed (HA, HA+5 %TiO 2 and HA+8 %TiO 2) and subjected to X-ray diffraction (XRD), scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), indentation fracture (IF), biaxial flexural strength (BFS) and chemical solubility test. XRD revealed, for HA group, the appearance of a peak corresponding to b-tricalcium phosphate (ß-TCP). For HA+ 5 %TiO 2 and HA+ 8 %TiO 2, the entire composition was converted into ß-TCP and calcium titanate (CaTiO 3). The SEM images showed a dense ceramic matrix and a uniform distribution of another phase in groups with TiO 2 nanoparticles. HA+ 5 %TiO 2 (1.40 ± 0.18 MPa.m1/2) and HA+ 8 %TiO 2 (1.32 ± 0.18 MPa.m1/2) showed significantly higher fracture toughness values than HA (0.67 ± 0.09 MPa.m1/2). HA showed significantly higher characteristic stress (295.8 MPa) in comparison to groups with 5 % (235.1 MPa) and 8 % (214.4 MPa) TiO 2 nanoparticles. Differences were not observed between the Weibull modulus values. The solubility results indicated that all experimental ceramics were above the 2000 ug/cm2 limit set by the ISO 6872:2015. This study proposed the development and characterization of a new ceramic for dental prosthesis made from HA extracted from bovine bones, with the intention of reusing these solids waste and transforming them into a sustainable and low-cost material. Although the experimental calcium phosphate ceramic with additions of 5 % and 8 % of TiO 2 achieved desirable mechanical properties, the chemical solubility values were very high. [Display omitted] • Bovine HA derived bioceramic with TiO 2 presents sustainability potential. • The addition of 5 % and 8 %TiO 2 significantly improved material's fracture toughness. • HA + TiO 2 bioceramic material converted microstructure to ß-TCP and CaTiO 3. • HA+TiO 2 achieved mechanical ISO standards, but failed chemical solubility limits. [ABSTRACT FROM AUTHOR]

Polymerization shrinkage of bonded resin composite restorations will result in the development of curing contraction stresses during setting and can cause debonding of the restoration or failure of the surrounding tooth structure. However, the hygroscopic expansion that occurs after exposure of the restorative to the wet oral environment can compensate for this shrinkage. The purpose of this study was to determine the hygroscopic expansion of six commercial resin composites and relate it to their composition, mechanical properties, shrinkage, and contraction stress development. Short-term volumetric shrinkage and contraction stress of the different composites were measured by mercury dilatometry and a universal testing machine. The long-term contraction stress was measured by the deflection of a bilayer strip of metal and a resin composite, which were stored dry as well as wet to determine the effect of hygroscopic expansion. The curvature of the strip was measured by profilometry over a period of 3 months. The curvature of the strip correlated well (r2 =0.74) with the initial contraction stress, showing that the contraction stress is an important factor in initial deformation. The water sorption in all specimens showed that the initial deformation, within 2–4 weeks after curing, was completely counteracted. A high correlation (r2 =0.90) between deflection and relative water sorption was found, where the relative water sorption is defined as the absolute water sorption corrected for the inorganic filler volume of the composite. Within a period of 2–4 weeks after curing most of the curing contraction stresses of resin composite restoratives will be released by hygroscopic expansion. [ABSTRACT FROM AUTHOR]

The clinical failure mode of dental crown ceramics involves radial cracking at the interface, driven by the surface tension generated from the flexure of the ceramic layer on the subsurface. This results in a reduced lifespan for most all-ceramic dental crowns. Therefore, investigating optimal material combinations to reduce stress concentration in dental crown materials has become crucial for future successful clinical applications. The anisotropic complex structures of natural materials, such as nacre, could potentially create suitable strong and damage-resistant materials. Their imitation of natural structural optimisation and mechanical functionality at both the macro- and micro-levels minimises weaknesses in dental crowns. This research aims to optimise cost-effective, freeze-casted bioinspired composites for the manufacture of novel, strong, and tough ceramic-based dental crowns. To this end, multilayer alumina (Al 2 O 3) composites with four different polymer phases were tested to evaluate their bending behaviour and determine their flexural strength. A computational model was developed and validated against the experimental results. This model includes Al 2 O 3 layers that undergo gentle compression and distribute stress, while the polymer layers act as stress relievers, undergoing plastic deformation to reduce stress concentration. Based on the experimental data and numerical modelling, it was concluded that these composites exhibit variability in mechanical properties, primarily due to differences in microstructures and their flexural strength. Furthermore, the findings suggest that bioinspired Al 2 O 3 -based composites demonstrate promising deformation and strengthening behaviour, indicating potential for application in the dental field. [Display omitted] [ABSTRACT FROM AUTHOR]

To formulate an experimental methacrylate-based photo-polymerizable resin for 3D printing with ytterbium trifluoride as filler and to evaluate the mechanical, physicochemical, and biological properties. Resin matrix was formulated with 60 wt% UDMA, 40 wt% TEGDMA, 1 wt% TPO, and 0.01 wt% BHT. Ytterbium Trifluoride was added in concentrations of 1 (G 1 %), 2 (G 2 %), 3 (G 3 %), 4 (G 4 %), and 5 (G 5 %) wt%. One group remained without filler addition as control (G C). The samples were designed in 3D builder software and printed using a UV-DLP 3D printer. The samples were ultrasonicated with isopropanol and UV cured for 60 min. The resins were tested for degree of conversion (DC), flexural strength, Knoop microhardness, softening in solvent, radiopacity, colorimetric analysis, and cytotoxicity (MTT and SRB). Post-polymerization increased the degree of conversion of all groups (p < 0.05). G 2 % showed the highest DC after post-polymerization. G 2 % showed no differences in flexural strength from the G 1 % and G C (p > 0.05). All groups showed a hardness reduction after solvent immersion. No statistical difference was found in radiopacity, softening in solvent (ΔKHN%), colorimetric spectrophotometry, and cytotoxicity (MTT) (p > 0.05). G 1 % showed reduced cell viability for SRB assay (p < 0.05). It was possible to produce an experimental photo-polymerizable 3D printable resin with the addition of 2 % ytterbium trifluoride as filler without compromising the mechanical, physicochemical, and biological properties, comparable to the current provisional materials. • Ytterbium trifluoride was inserted up to 5 wt% to a 3D printing resin. • Inorganic fillers could be used as reinforcements 3D printing resin. • Ytterbium trifluoride as filler did not affect the properties of the experimental resin. [ABSTRACT FROM AUTHOR]

To compare the interfacial fracture toughness (IFT) with or without aging, of four different classes of CAD-CAM ceramic and composite materials bonded with self-adhesive resin cement to titanium alloy characteristic of implant abutments. High translucent zirconia (Katana; KAT), lithium disilicate-based glass-ceramic (IPS. emax.CAD; EMX), polymer-infiltrated ceramic network material (PICN) (Vita Enamic; ENA), and dispersed filler composite (Cerasmart 270; CER) were cut into equilateral triangular prisms and bonded to titanium prisms with identical dimensions using Panavia SA Cement Universal. The surfaces were pretreated following the manufacturers' recommendations and developed interfacial area ratio (Sdr) of the pretreated surfaces was measured. IFT was determined using the Notchless Triangular Prism test in a water bath at 36 °C before and after thermocycling (10,000 cycles) (n = 40 samples/material). IFT of the materials ranged from 0.80 ± 0.25 to 1.10 ± 0.21 MPa.m1/2 before thermocycling and from 0.71 ± 0.24 to 1.02 ± 0.25 MPa.m1/2 after thermocycling. There was a statistical difference between IFT of CER and the two top performers in each scenario: KAT and EMX before aging, and KAT and ENA after aging. Thermocycling significantly decreased IFT of EMX. The Weibull modulus of IFT was similar for all materials and remained so after thermocycling. Sdr measurements revealed that ENA (7.60)>Ti (4.97)>CER (2.85)>KAT (1.09)=EMX (0.96). Dispersed filler CAD-CAM composite showed lower performance than the other materials. Aging only affected IFT of Li-Si glass-ceramic, whereas zirconia and PICN performed equally well, probably due to their chemical bonding potential and surface roughness respectively. [ABSTRACT FROM AUTHOR]

To assess the prediction accuracy of recent optical and numerical models for the spectral reflectance and color of monolithic samples of dental materials with different thicknesses. Samples of dental resin composites of Aura Easy Flow (Ae1, Ae3 and Ae4 shades) and Estelite Universal Flow Super Low (A1, A2, A3, A3.5, A4 and A5 shades) with thicknesses between 0.3 and 1.8 mm, as well as Estelite Universal Flow Medium (A2, A3, OA2 and OA3 shades) with thicknesses between 0.4 and 2.0 mm, were used. Spectral reflectance and transmittance factors of all samples were measured using a X-Rite Color i7 spectrophotometer. Four analytical optical models (2 two-flux models and 2 four-flux models) and two numerical models (PCA-based and L*a*b*-based) were implemented to predict spectral reflectance of all samples and then convert them into CIE-L*a*b* color coordinates (D65 illuminant, 2°Observer). The CIEDE2000 total color difference formula (Δ E 00 ) between predicted and measured colors, and the corresponding 50:50% acceptability and perceptibility thresholds (A T 00 and P T 00 ) were used for performance assessment. The best performing optical model was the four-flux model RTE-4F-RT, with an average Δ E 00 = 0.72 over all samples, 94.87% of the differences below A T 00 and 65.38% below P T 00 . The best performing numerical model was L*a*b*-PCHIP (interpolation mode), with an average Δ E 00 = 0.48, and 100% and 79.69% of the differences below A T 00 and P T 00 , respectively. Both optical and numerical models offer comparable color prediction accuracy, offering flexibility in model choice. These results help guide decision-making on prediction methods by clarifying their strengths and limitations. • Reflectance data of dental materials can be estimated by numerical algorithms. • Reflectance data of dental materials can be estimated by optical models. • Predicted — measured color differences are generally lower than AT 00. [ABSTRACT FROM AUTHOR]

The primary aim of this in vitro study was to compare the load-bearing capacity of lithium disilicate occlusal veneers, fabricated via different manufacturing processes. Secondary objectives included assessing internal accuracy and production time-efficiency. Four fabrication methods for ultra-thin lithium disilicate occlusal veneers on extracted human molars with simulated erosive defects were compared (n = 20/group): CAM: milled lithium disilicate (IPS e.max CAD); HPR: heat-pressed lithium disilicate (IPS e.max Press) out of a milled PMMA template (Ddpmma CAST); 3DP: 3D-printed lithium disilicate (experimental lithium disilicate); PTE: heat-pressed lithium disilicate (IPS e.max Press) out of a 3D-printed template (SilaPrint cast). Internal accuracy was measured prior to thermo-mechanical aging, followed by static loading to measure the load-bearing capacity (F max). Fabrication time (time-efficiency) was also recorded. Statistical analysis was performed using the Kruskal-Wallis (KW) test. No statistically significant differences were found in median load-bearing capacities (F max) between the groups (KW p = 0.5902): CAM 1821 N, HPR 1896 N, 3DP 2003 N, PTE 1687 N. Significant differences were found in internal accuracy between the groups that employed printing processes (3DP, PTE) and all other groups in margins (p < 0.001), cusps (p < 0.0018), and fossae (p < 0.0346). The time-efficiency measurements indicated an increase in fabrication time, starting from CAM 67.2 ± 5.8 min, followed by HPR 200.8 ± 33.0 min, PTE 289.2 ± 38.7 min, and peaking with the highest duration observed for 3DP 701.6 ± 8.1 min. The fabrication method of ultra-thin lithium disilicate occlusal veneers does not significantly impact their load-bearing capacity, but affects the clinical fit and adaptation of the veneers. • All fabrication methods exhibited high load-bearing capacities, with no significant differences between the groups. • Milled or heat-pressed restorations demonstrated minimal marginal discrepancies and high internal accuracy. • 3D-printed restorations showed larger marginal gaps but superior internal accuracy in the cusp and fossa regions. • Direct milling was the most time-efficient; 3D-printing the most time-consuming, and procedures involving methacrylate-based templates were intermediate. [ABSTRACT FROM AUTHOR]

The handheld nonthermal plasma (HNP) treatment may alter the surface properties, bone metabolism, and inflammatory reactions of polyaryletherketone (PAEK) dental implant materials. This study tested whether the HNP treatment might increase the biocompatibility, surface hydrophilicity, surface free energies (SFEs), and the cell adhesion and mineralization capability of PAEK materials. Disk-shaped samples of titanium (Ti), zirconia (Zr), polyetheretherketone (PEEK [PE]), and polyetherketoneketone (PEKK [PK]) were subjected to HNP treatment and termed as TiPL, ZrPL, PEPL, and PKPL, respectively. Water-surface reactions were examined using a goniometer. MG-63 cells were cultured on all samples to assess the cell viability, cytotoxicity, cell attachment, and mineralization characteristics. The expression of pro-inflammatory cytokines (tumor necrosis factor-alpha and interleukin-6) and key mineralization markers (alkaline phosphatase [ALKP], osteopontin [OPN], and dentin matrix protein 1 [DMP1]) was measured using enzyme-linked immunosorbent assay kits. The HNP-treated samples exhibited significantly enhanced surface hydrophilicities and SFEs compared to the untreated samples. The cell viability remained high across all samples, indicating no cytotoxic effects. The HNP treatment significantly enhanced MG-63 cell adherence and proliferation. Elevated levels of ALKP and OPN were observed for the plasma-treated PEPL and PKPL specimens, while DMP1 levels increased significantly only in the PKPL specimen. Pro-inflammatory cytokine levels were low across all samples, suggesting no inflammatory response. The HNP-treated PAEKs have enhanced the surface hydrophilicity and SFEs as well as superior cell adhesion and mineralization capability, and thus may be good clinical dental implant materials. [ABSTRACT FROM AUTHOR]

This research aimed to create a new Li metasilicate-based glass-ceramic for dental use, prioritizing improved chemical durability (CD) and machinability while preserving good glass-forming ability (GFA) and adequate mechanical properties. Characterization also involved examining fracture strength (S f) and fracture toughness (K IC). The experimental approach involved precise microstructural adjustments through designed compositional changes and controlled thermal treatments. Four compositions underwent scrutiny using mechanical tests, microscopy, differential scanning calorimetry, and X-ray diffraction to analyze the impact of lithium metasilicate (LS) and disilicate (LS2) crystals on these properties. Machinability was evaluated by weight loss measurements during controlled grinding experiments. The developed GCs exhibited interconnected acicular LS and LS2 crystals, which resulted in favorable S f ∼300 MPa and K IC ∼1.7 MPa m1/2 (SEVNB). Although the K IC was smaller than that of an experimental LS-LS2 GC (285 MPa and 3 MPa m1/2(double torsion)) used as a reference, the chemical durability (126 μg/cm2 for ML14F GC) improved by nearly 50 % compared to the reference (∼220 μg/cm2). This study introduced three new GCs with LS as the major phase (rather than the traditional LS2), showcasing commendable GFA, chemical durability and machinability, with satisfactory flexural strength and fracture toughness. [ABSTRACT FROM AUTHOR]

Bioactive glass ceramics (BGC) play a pivotal role in bone tissue engineering, specifically addressing challenges associated with bone repair and regeneration. In this study, we developed silica-based 55S0P and 45S10P spherical BGC nanoparticles (NPs), without and with P 2 O 5 content, using a modified Stöber sol-gel process with base hydrolysis. The fabricated spherical NPs with pronounced textural features effectively contribute to enhanced surface roughness, a desirable parameter for improved biological activity in physiologically relevant solutions and tissue matrices. A comprehensive evaluation of the structural properties of these novel spherical BGC-NPs using diverse characterization techniques revealed distinct nano-textural features in the form of cracks and pores. The HR-TEM confirmed the nanoscale dimensions (170–190 nm) of particles with spherical surface morphology and also systematically analysed via DLS, FE-SEM studies. An augmented surface area with mesopores when phosphate added to the silica glass network was revealed by BET analysis. On the biological front, the study records the formation of an HCA layer on the surfaces of the BGC-NPs, the thickness of which increased with an increase in both phosphate content and immersion time (0, 3, 14 & 28 days) in the SBF solution. The zeta potential values attain a maximum from −22 mV to −23.6 mV for 55S0P and −21.5 mV to −26.4 mV for 45S10P BGC-NPs, and improved with increased immersion time, thereby favouring cellular adhesion for desired biological responses. In vitro, cell culture studies on MG-63 cells, after 24 and 72 h of incubation, demonstrated higher cell adhesion and proliferation, with pronounced biocompatibility. In addition, these BGC-NPs exhibited good hemocompatibility even at the highest test concentration (15 mg/ml) and demonstrated effective antibacterial activity against K. pneumoniae and E. coli. A combinatorial analysis of structural and biological properties revealed that the 45S10P BGC-NPs are more potent than 55S0P BGC-NPs for desired biological performances. In conclusion, the results suggest that the sol-gel fabricated BGC-NPs with enhanced nano-textural features are evidently suitable for applications in bone tissue engineering and regenerative medicine. [Display omitted] • Design and development of BGC-NPs (55S0P and 45S10P) via modified Stöber's method. • Confirmation of enhanced textural features by BET, FE-SEM and HR-TEM analyses. • Obtained high negative Zeta values supporting improved surface reactivity for bio-compatible applications. • Identification of HCA layer by Optical Absorption (OA), supported by XRD, FTIR & FE-SEM. • Enhanced cell viability, hemocompatibility and antibacterial activity with P 2 O 5 content for bone regenerative applications. [ABSTRACT FROM AUTHOR]

The purpose of this study was evaluating the performance of new Bis-EFMA based bulk-fill composites with common methacrylate based composites and commercial dental composites. The Bis-EFMA monomer was synthesized and the novel Bis-EFMA based bulk-fill composites were prepared. The resin composite samples were co-cultured with human gingival epithelial cells and human dental pulp stem cells to test the biocompatibility. The edge adaptation was observed under a combination of stereoscope and scanning electron microscope. The internal hardness was measured using a Vickers microhardness tester after one-time filling of cavities prepared in extracted teeth. After friction and wear test on the surface of the resin composites, the surface morphology and volume wear of each group were measured by the optical profilometer. The color stability was measured by a colorimeter. Direct contact with human gingival epithelial cells and human dental pulp stem cells did not cause significant changes in their growth density and morphology, indicating good biocompatibility of Bis-EFMA group (p > 0.05). The continuous margin proportion of the Bis-EFMA group was as good as commercial bulk-fill composites (p > 0.05). The sectional microhardness results showed that the Bis-EFMA group had the highest microhardness. After the friction and wear test, the volume wear of the Bis-EFMA group was minimal, indicating its good wear resistance and mechanical strength. Color changes in all resin groups after 28 days of immersion were within the clinically acceptable range. The addition of Bis-EFMA demonstrated excellent biocompatibility, edge adaptation and color stability comparable to commonly used clinical bulk-fill composites, along with preferable mechanical strength, friction and wear resistance. Bis-EFMA based bulk-fill composites have the potential to be employed as a bulk filling material in commercial dental composite applications. • Bis-EFMA BF-DRCs showed good biocompatibility to the pulp periodontal tissue. • Bis-EFMA BF-DRCs adapted well to cavity wall. • The rigid structure got Bis-EFMA BF-DRCs higher microhardness and anti-friction property compared with SDR™. • Bis-EFMA BF-DRCs had reliable color stability. [ABSTRACT FROM AUTHOR]

The study aimed to assess the impact of diphenyliodonium hexafluorophosphate (DPI) on the physicochemical properties of experimental resin composites (ECRs) featuring reduced concentrations of camphorquinone (CQ)/amine. Five concentrations of CQ (0.125, 0.25, 0.5, 0.75, and 1 mol%) with dimethylaminoethyl amine benzoate (EDAB) in a 1:2 mol% ratio (CQ:EDAB) were incorporated into a 50:50 mass% monomer blend of bisphenol glycidyl methacrylate (BisGMA) and triethyleneglycol dimethacrylate (TEGDMA). An additional 5 groups with the same CQ:EDAB concentrations had 0.5 mol% DPI added. Each resin group contained 60 wt% of 0.7 µm barium-alumino-silicate glass. Light transmission (n = 3), real-time degree of polymerization (n = 3), temperature change during polymerization (n = 5), polymerization shrinkage strain (n = 3), flexural strength, and modulus (n = 12), as well as water sorption and solubility (n = 5), were evaluated. Data were analyzed using two-way ANOVA and Tukey's post-hoc test (α = 0.05). Light transmission was reduced in groups containing 0.125 and 0.25 mol% of CQ without DPI. DPI increased temperature, degree and rate of polymerization, despite the reduction in CQ/amine concentration. Additionally, there was an increase in polymerization shrinkage strain, flexural strength and modulus, and a reduction in water sorption and solubility in ECRs with DPI, even with lower concentrations of CQ/EDAB. DPI improved the assessed properties of composites across various concentrations of CQ/EDAB, showing the benefit of reducing the quantity of CQ used without compromising the properties and curing of the resin composites. [ABSTRACT FROM AUTHOR]

The present work demonstrates the optimization of a renilla-based real-time, ultra-bright, non-disruptive, high-throughput bioluminescence assay (HTS) to assess the metabolism of intact Streptococcus mutans biofilms and its utility in screening the antibacterial efficacy of experimental nanofilled dental adhesive resins containing varying concentrations of nitrogen-doped titanium dioxide nanoparticles (N_TiO 2). Methods. Optimization of the assay was achieved by screening real-time bioluminescence changes in intact Streptococcus mutans biofilms imposed by the various experimental biofilm growth parameters investigated (bacterial strain, growth media, sucrose concentration, dilution factor, and inoculum volume). The optimized assay was then used to characterize the antibacterial efficacy of experimental nanofilled dental adhesive resins. The assay's ability to discriminate between bacteriostatic and bactericidal approaches was also investigated. Results. Relative Light Units (RLU) values from the HTS optimization were analyzed by multivariate ANOVA (α = 0.05) and coefficients of variation. An optimized HTS bioluminescence assay was developed displaying RLUs values (brightness) that are much more intense when comparing to other previously reported bioluminescence assays, thereby decreasing the error associated with bioluminescence assays and displaying better utility while investigating the functionalities of antimicrobial nanofilled experimental dental adhesive resins with proven long-term properties. Significance. The present study is anticipated to positively impact subsequent research on dental materials and oral microbiology because it serves as a valuable screening tool in metabolic-based assays with increased sensitivity and robustness. The assay reported is anticipated to be further optimized to be used as a co-reporter for other Luc based assays. [ABSTRACT FROM AUTHOR]

To compare the performance of Cention-N® with direct restorative materials used at the daily practice (e.g., resin-based composites/RBC, glass ionomer cements/GIC, bioactive resins, silver amalgam) via a systematic review study. The review followed the PRISMA-NMA recommendations, and the protocol of the review was published at osf.io/ybde8. The search was conducted in PubMed/MEDLINE, Scopus, Web of Science, Embase, Lilacs, and SciELO databases, as well as in the grey literature (Open Grey, Proquest, and Periódicos CAPES). Studies with an in vitro experimental design evaluating the characteristics and properties of Cention-N in comparison to other restorative materials were included. The risk of bias of included studies was assessed using the RoBDEMAT tool, and meta-analyses were conducted using Review Manager 5.4 and MetaInsight V3 tools. A total of 85 studies were included in the review, from which 79 were meta-analyzed. Several characteristics of direct restorative materials were analyzed, including physical (color change, degree of conversion, hardness, microleakage, polymerization rate, roughness, water solubility, water sorption), mechanical (bond strength to dentin, compressive strength, diametral tensile strength, flexural modulus, flexural strength, load-to-fracture, wear), and biological (alkalinizing effect, antibacterial activity, calcium and fluoride release) properties. Cention-N presented similar physico-mechanical properties compared to RBCs, but a stronger behavior than GICs. Despite the Alkasite nature of Cention-N, GICs may still demonstrate the greatest fluoride releasing ability from all direct restorative materials. This review confirmed the adequate behavior of Cention-N when compared to several other more traditionally used materials, confirming its applicability for the permanent restoration of decayed or fractured teeth. • Systematic review with meta-analysis that evaluates the physical-mechanical and biological properties of Cention-N. • Cention-N has superior properties to glass ionomer cement in terms of several properties. • Limitations of Cention-N are limited to color variety and manual manipulation. [ABSTRACT FROM AUTHOR]

Dental implants are intended to function as a durable method for replacing missing teeth. A biocompatible dental alloy is used to achieve integration with the jawbone through Osseointegration. This creates a strong base for the implant, allowing it to withstand the mechanical forces generated during biting and chewing. Dental alloys are commonly subjected to various mouth conditions known for their intricate corrosion potential. Corrosion can weaken the structural integrity of the implant, causing issues such as implant loosening, micro-motion at the implant-bone contact, implant fracture, allergic reactions, toxicity, and possible disruption of the Osseo integration process. To improve the alloy's corrosion resistance and biocompatibility, its surface can be altered using nanocomposite materials. The materials provide a protective coating to the alloy, creating a physical barrier that effectively prevents corrosive substances from reaching the underlying bulk material. This study involves modifying the surface of the dental alloy Ti–13Nb–13Zr with Fluroapatite (FAP)/Silicon dioxide (SiO 2) modified zirconia (ZrO 2) nano composites. The altered surfaces are then studied in simulated body fluid and artificial saliva solutions using in vitro methods. The FAP/SiO 2 modified ZrO 2 nanocomposites is applied onto a Ti–13Nb–13Zr alloy utilizing Electrophoretic deposition and Dip coating techniques. The coated samples were analysis utilizing FTIR, XRD, and SEM with EDS. Corrosion analysis was carried out on coated and uncoated samples using Electrochemical methods in simulated body fluid and artificial saliva solution. The biocompatibility is assessed using MTT assay, contact angle, and immersion testing in both SBF and Artificial saliva. EIS and corrosion study results show that FAP/SiO 2 modified ZrO 2 nanocomposites coated Ti13Nb13Zr alloy has high polarization resistance, low corrosion rate, and good charge transfer resistance, indicating excellent corrosion resistance. The contact angle study showed that the surface-modified Ti13Nb13Zr alloy is superhydrophilic, increasing implant surface osseointegration. Cell viability measurements reveal good cell growth, while immersion investigations show calcification, leading to enhanced osseointegration between the implant and its surrounding tissues. hence, it is an excellent material for dental implants application. [ABSTRACT FROM AUTHOR]

This study investigated the fracture resistance and failure modes of custom-fabricated post- and core dental restorations using various CAD/CAM materials. Seventy-five mandibular second premolars were allocated to five groups (n = 15) and prepared for standardized post and core restorations. The groups included a control group comprising cast metal and four CAD/CAM materials: Vita Enamic, Shofu HC, Trilor, and PEKK. Fracture resistance was assessed using a compressive force at a crosshead speed of 1 mm/min until failure occurred. Data were analyzed using one-way analysis of variance (ANOVA) and chi-square tests. The metal group had the highest fracture resistance (244.41 ± 75.20 N), with a significant variance compared to that in the CAD/CAM groups (p < 0.001). No significant differences were observed among the non-metallic groups. While several CAD/CAM materials displayed satisfactory flexural properties, cast metal posts showed superior fracture resistance in endodontically treated teeth but were mostly associated with catastrophic failure. The clinical application of CAD/CAM materials for post-core restorations presents a viable alternative to traditional metal posts, potentially reducing the risk of unfavorable fractures. [ABSTRACT FROM AUTHOR]

The commonly used base monomer utilized in resinous commercial dental restorative products is bis-GMA which is derived from bisphenol-A (BPA) - a well-known compound which may disrupt endocrine functions. To address concerns about its leaching into the oral environment and to optimize the quality of dental composites, a BPA-free alternative base monomer, fluorinated urethane dimethacrylate (FUDMA), was designed by modifying a UDMA monomer system. Nine groups of composites were prepared by mixing the base monomers and TEGDMA in a ratio of 70/30 wt% to which were added silanized glass particles (mean diameter: 0.7 µm) in 3 different volume fractions (40, 45, and 50 vol%). Bis-GMA and UDMA base monomers were used as control groups in the same ratios. Various properties including degree of conversion (DC), flexural strength (FS) and flexural modulus (FM), water sorption (WS), solubility (SL), surface hardness and roughness, and initial adhesion property against S.mutans were investigated. One-way analysis of variance followed by Bonferroni test at α = 0.05 was used to analyze the results. A significant difference in FS between FUDMA-based composite with 40 vol% filler (120.3 ± 10.4 MPa) and Bis-GMA-based composite with the same filler fraction (105.8 ± 10.0 MPa) was observed but there was no significant difference among other groups. The UDMA based group exhibited the highest WS (1.3 ± 0.3 %). Bis-GMA showed greater initial bacterial adhesion but was not statistically different from the other groups (p = 0.082). FUDMA-based resin composites exhibit comparable mechanical and bacterial adhesion properties compared with Bis-GMA and UDMA-based composites. The FUDMA composites show positive outcomes indicating they could be used as substitute composites to Bis-GMA-based composites. [Display omitted] • FUDMA composites have the potential to serve as viable substitutes for Bis-GMA-based composites in dental applications. • Substituting Bis-GMA with FUDMA significantly improved mechanical properties. • FUDMA composite reduces bacterial attachment compared to the Bis-GMA composite control group. [ABSTRACT FROM AUTHOR]

Hydroperoxides are key constituents of two-component dental materials. The objective of this study was to evaluate the influence of the hydroperoxide structure on the reactivity and on the mechanical properties of self-cure composites. Hydroperoxides HP1–3 were synthesized by selective catalytic oxidation of the corresponding para -substituted cumene precursors and isolated in high purity. They were characterized by 1H NMR and 13C NMR spectroscopy. 16 self-cure composites, based on the redox initiator system hydroperoxide (Cumene hydroperoxide (CHP), HP1–3 or tert.-Amyl hydroperoxide (TAH))/polymerizable thiourea ATU1 /copper(II) acetylacetonate, were formulated in Sulzer Mixpac two-component syringes. An equimolar hydroperoxide/ ATU1 ratio was selected for each self-cure composite. The reactivity and the final double-bond conversions obtained with these two-component materials was assessed using RT-FTIR spectroscopy. The flexural strength and modulus were measured using a three-point bending setup, after storage of the specimens for 45 min at 37 °C (dry) and for 24 h in water at 37 °C. The working time of each self-cure composite was measured using an oscillating rheometer. CHP derivatives bearing an electron withdrawing group (HP2 : ester or HP3 : nitrile) in the para position were found to be more reactive than CHP, whereas the compound bearing an electron donating group (tert -butyl, HP1) was less reactive; molecular modelling data were reported for a better understanding of this structure/reactivity/efficiency relationship. All CHP derivatives were more reactive than the aliphatic hydroperoxide TAH. Excellent mechanical properties were obtained with self-cure composites containing either CHP or a para -functionalized CHP derivative. By carefully selecting the amounts of oxidizing/reducing agents and metal catalyst, suitable working times can be obtained with all evaluated hydroperoxides. HP3 , thanks to its high reactivity, is nonetheless the most promising compound. The curing rate of self-cure composites can be adapted by modifying the structure of the hydroperoxide. In agreement with molecular modelling data, the incorporation of CHP derivatives bearing an electron withdrawing group in the para position is particularly attractive. Indeed, due to a significant reactivity enhancement, the desired properties (working time, flexural strength/modulus) can be obtained by incorporating moderate amounts of hydroperoxide/acylthiourea as well as particularly low contents of metal catalyst to the two-component dental materials. • Three cumene hydroperoxide derivatives were synthesized. • Self-cure composites based on various hydroperoxides were formulated and evaluated. • Excellent mechanical properties were obtained with the new hydroperoxides. • The nature of the hydroperoxide had a strong influence on the curing kinetics. [ABSTRACT FROM AUTHOR]

Quality control testing of dental materials requires a standard to enable the generation of reproducible and comparable data. Currently there are no standards for testing materials used for vital pulp therapy. The aim of this study was to develop a new standard to evaluate solubility of pulp preservation materials. The solubility of three materials used for vital pulp therapy: Biodentine, TheraCal and Activa was evaluated using two international standards for dental materials ISO 4049:2019 (S1) and ISO 6876:2012 (S2). For both standards, a modified methodology was evaluated. This included changing the volume of the solution used (S1M, S2M), using Dulbecco's modified eagle medium (DMEM) as an alternative to water (S1D, S2D) and periodic solution change for the ISO 4049 method (S1P, S1MP). Materials were characterised before and after completion of solubility test using scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. The test materials exhibited different solubility values depending on the methodology used. Biodentine exhibited significantly lower solubility when lower volumes of solution were used when tested using both ISO methods (p ≤ 0.05). TheraCal and Activa showed negative solubility values after desiccation when tested using ISO 4049:2019. The Biodentine exhibited changes in its microstructure which was dependent on the method used to test solubility. The solubility values obtained were dependent on the method used. It is thus important to use methods that replicate the clinical environment for meaningful evaluations. [ABSTRACT FROM AUTHOR]

Polymerization shrinkage poses a significant challenge in dental resin composites. The objective of this study is to introduce spiroorthocarbonate monomer 3,9-dimethylene-1,3,5,7-tetraoxa-spiro[5,5]undecane (BMSOC) and epoxy resin monomer 3,4-epoxycyclohexylmethyl-3,4-epoxycyclohexane carboxylate (ECHM-ECHC) into bisphenol-S-bis(3-methacrylato-2-hydroxy propyl)ether (BisS-GMA) based resin composites to develop composites with reduced shrinkage properties. BMSOC and BisS-GMA were synthesized and thoroughly mixed with ECHM-ECHC, followed by inorganic fillers and photoinitiators. Based on the composition of the resin matrix, five groups of experimental composites were prepared, with traditional bisphenol A-dimethacrylate glycidyl ester (Bis-GMA)/triethylene glycol dimethacrylate (TEGDMA) based composite serving as the control. The polymerization properties, including degree of conversion (DC) and polymerization shrinkage (PS), as well as marginal microleakage, wettability, flexural strength (FS), flexural modulus (FM), and biocompatibility were evaluated. The results demonstrated that compared with the control group, the PS of BisS-GMA based composites containing BMSOC and ECHM-ECHC were significantly reduced (P < 0.05), and the lowest PS (0.96 ± 0.08 %) was observed when the ratio of BisS-GMA: (Epoxy + BMSOC) was 4:6. Additionally, the experimental composites also exhibited improved DC, minimal microleakage, low hydrophilicity, enhanced mechanical properties, qualified in vivo biocompatibility, and slight/moderate in vitro biocompatibility. The resin composites incorporating multiple modified low-shrink monomers are promising for dental applications to prevent various clinical problems caused by PS and extend restoration longevity. [ABSTRACT FROM AUTHOR]

Although glass fibers are more common, quartz fibers (QFs) are also considered as the ideal reinforcing material in dentistry, due to their superior mechanical strength, high purity, and good photoconductive properties. However, the relatively inert surfaces limit their further applications. Therefore, the aim of this study is to modify the fiber surface properties to improve the interfacial interactions with polymeric resins. In this study, we systematically introduced four different surface modification strategies onto short quartz fibers (SQFs) for the preparation of dental composites. Particularly, the acid etching was a facile way to create mechanical interlocking structures. In addition, the silanization process, the sol-gel treatment, and the polymer grafting were further proposed to increase the surface roughness and the reactive sites. The effect of surface modifications on the fiber surface morphological changes, mechanical properties, water stability, and in vitro cell viability of dental composites were investigated. Among all surface-modified SQFs, SQFs-POSS (SQFs modified with methacrylate-POSS) exhibited the roughest surface morphology and highest grafting rates compared with other three materials. Furthermore, all these SQFs were applied as reinforcements to make dimethacrylate-based dental resin composites. Of all fillers, SQFs-POSS demonstrated the best reinforcing effect, providing significantly higher improvements of 55.7 %, 114.3 %, and 164.7 % for flexural strength, flexural modulus, and breaking energy, respectively, over those of SQFs-filled composite. The related reinforcing mechanism was further investigated. The SQFs-POSS-filled composite also exhibited the best water stability performance and in vitro cell viability. This work provided valuable insights into the optimization of filler-matrix interaction through fiber surface modifications. Specifically, SQFs-POSS markedly outperformed other formulations in terms of the physicochemical performance and in vitro cytotoxicity, which offers possibilities for developing high-performance dental composites for clinical applications in restorative dentistry. [Display omitted] • Four different surface modifications were proposed to short quartz fibers (SQFs). • MA-POSS grafting on SQFs (SQFs-POSS) achieved the roughest surface morphology. • The developed SQFs-POSS exhibited best reinforcing effect for dental composites. • All surface-modified SQFs did not compromise the in vitro cell viability. [ABSTRACT FROM AUTHOR]

Composites with copper-doped mesoporous bioactive nanospheres (Cu-MBGN) were developed to prevent secondary caries by imparting antimicrobial and ion-releasing/remineralizing properties. Seven experimental composites containing 1, 5 or 10 wt% Cu-MBGN, the corresponding inert controls (silica) and bioactive controls (bioactive glass 45S5) were prepared. The temperature rise during light curing, cross-linking density by ethanol softening test, monomer elution and their potential adverse effects on the early development of zebrafish Danio rerio was investigated. Materials combining Cu-MBGN and silica showed the highest resistance to ethanol softening, as did the bioactive controls. Cu-MBGN composites showed significant temperature rise and reached maximum temperature in the shortest time. Bisphenol A was not detected, while bis-GMA was found only in the control materials and TEGDMA in the eluates of all materials. There was no increase in zebrafish mortality and abnormality rates during exposure to the eluates of any of the materials. The composite with 5 wt% Cu-MBGN combined with nanosilica fillers showed the lowest ethanol softening, indicating the polymer's highest durability and cross-linking density. Despite the TEGDMA released from all tested materials, no embryotoxic effect was observed. [Display omitted] • composites with copper-doped mesoporous bioactive nanospheres were developed. • high and rapid rise in temperature occurred during polymerisation. • cross-linking density of polymer network did not correlate with monomer release. • only triethylene glycol dimethacrylate was released during 7 days in ethanol. • did not cause embryotoxicity or abnormalities in Danio rerio. [ABSTRACT FROM AUTHOR]

To evaluate, in a prospective clinical study over 5 years with ex vivo 3D profilometry analyses, the intraoral wear of Polymer-Infiltrated Ceramic Network (PICN) CAD-CAM composite restorations used in severe tooth wear treatment with the One-Step No-Prep technique. 192 PICN (Vita Enamic) restorations on molars and premolars were included in a prospective clinical study involving patients treated according to the One-step No-prep protocol (n = 7). All patients showed clinical signs of bruxism. Replicas of restorations on molars and premolars were realized at each evaluation time (baseline and then every year up to 5 years) and scanned to perform 3D profilometry. Baseline and recall scans were superimposed with Geomagic Control software. The mean material wear was calculated for the full occlusal area (FOA) and for the occlusal contact area (OCA), respectively. Clinical evaluation of restorations was performed at recall. At 5 years, the estimated mean material wear for FOA was inferior to the accuracy threshold of the profilometry measurement chain. For OCA, the estimated mean wear of the material was – 27.97 µm. This material wear was shown to be significantly influenced by time (p < 0.0001) and patient (p = 0.026), while the type of tooth (molar or premolar) had no influence. At 5 years, the survival and the success rates of restorations were 99.48% and 90.62%, respectively. The PICN material exhibits a low wear process in the treatment of severe tooth wear despite the presence of clinical signs of bruxism, and it constitutes a suitable material for the One-step No-prep technique. [ABSTRACT FROM AUTHOR]

Resin composites may release bisphenol A (BPA) due to impurities present in the monomers. However, there is a lack of knowledge regarding the leaching characteristics of BPA from resin composites. Therefore, experimental resin composites were prepared with known amounts of BPA. The objective of this study was (1) to determine which amount of BPA initially present in the material leaches out in the short term and, (2) how this release is influenced by the resin composition. BPA (0, 0.001, 0.01, or 0.1 wt%) was added to experimental resin composites containing 60 mol% BisGMA, BisEMA(3), or UDMA, respectively, as base monomer and 40 mol% TEGDMA as diluent monomer. Polymerized samples (n = 5) were immersed at 37 °C for 7 days in 1 mL of water, which was collected and refreshed daily. BPA release was quantified with UPLC-MS/MS after derivatization with pyridine-3-sulfonyl chloride. Between 0.47 to 0.67 mol% of the originally added BPA eluted from the resin composites after 7 days. Similar elution trends were observed irrespective of the base monomer. Two-way ANOVA showed a significant effect of the base monomer on BPA release, but the differences were small and not consistent. The released amount of BPA was directly proportional to the quantity of BPA present in the resin composite as an impurity. BPA release was mainly diffusion-based, while polymer composition seemed to play a minor role. Our results underscore the importance for manufacturers only to use monomers of the highest purity in dental resin composites to avoid unnecessary BPA exposure in patients. [ABSTRACT FROM AUTHOR]

to compare conventional nanohybrid (Ceram.x Spectra) and ormocer-based (Admira fusion) dental composite resins effects on human dental pulp stem cells (hDPSCs) in terms of cytotoxicity, self-renewal, migration and osteogenic differentiation. hDPSCs were cultured in presence of different dilutions (undiluted, form 1:2 to 1:100) of CeramX (CX) and Admira fusion (AD) eluates and viability assay in standard or osteogenic conditions were performed. Samples and eluates were prepared according to ISO 10993–12. In addition, apoptosis, self-renewal and migration activity evaluations were carried out. Osteogenic differentiation potential was tested by Alkaline Phosphatase Activity, alizarin red staining and gene expression of specific markers (ALP, RUNX2, OCN, OPN and COL1α1). Statistical analysis was performed by means of a One-way analysis of variance (One-way ANOVA) followed by a Tukey's test for multiple comparison; results were presented as mean ± standard error of mean (SEM). Admira Fusion demonstrated to be highly biocompatible and showed positive effects on hDPSCs proliferation and differentiation; on the contrary, conventional nanohybrid composite showed to be more cytotoxic and without any notable effect on stem cells differentiation. Moreover, the obtained results were further corroborated by a significant upregulation of osteogenic differentiation markers obtained in presence of ormocer-based composite resin eluate. Specifically, in AD 1:50 group expression levels of ALP, Runx2, Col1α1 were double than control (ALP, p = 0.045; Runx2, p = 0.003; Col1α1, p = 0.001) and CX 1:50 (ALP, p = 0.006; RUNX2, p = 0.029; Col1α1, p = 0.005). Moreover, in the same group, OPN and OCN resulted about 5 times more expressed as compared to control (OPN, p = 0.009; OCN, p = 0.0005) and CX 1:50 (OPN, p = 0.012; OCN, p = 0.0006). The less cytotoxicity obtained by AD than conventional nanohybrid composite may be attributed to a reduced monomers release in the oral environment, supporting the hypothesis of limited adverse effect and enhanced healing potential, mainly when the material is positioned in close contact with pulp tissue. • Ormocer-based resin demonstrated to be highly biocompatible. • Ormocer-based resin showed positive effects on hDPSCs differentiation. • Ormocer-based resin seemed to be effective in deep cavities approximating pulp. • Ormocer-based resin might enhance pulp tissue healing. [ABSTRACT FROM AUTHOR]

Due to innumerable confounding factors and a high number of types and brands of dental restorative materials, the clinical performance of restorative materials are sought predicted by various in vitro tests. However, only few such tests have been found to correlate well with clinical findings. Thus, the present study determined the in vitro dentin bond strength and marginal adaptation of Class II restorations and correlated the results to their clinical outcomes. Dentin bond strength (µTBS and µSBS) and marginal gap formation of Class II restorations (replica technique and SEM) were measured after 24 h and 6 m water storage using eight combinations of adhesive and resin composite. Clinical outcomes (mean survival time, Hazard Ratio, annual failure rate; n = 10.695) were gained from a data set of a retrospective multicenter study of direct restorations. Significant differences were found for dentin bond strength and marginal gap formation between the restorative material groups, and negative effects of long-term storage were observed. µTBS correlated significantly with certain clinical outcomes of Class I restorations, while µSBS correlated with certain clinical outcomes of Class II, III, IV and V restorations. Marginal gap formation in enamel and number of paramarginal fractures correlated with certain clinical outcomes of Class II restorations. Using the same restorative materials in vitro as in vivo, gave significant, but weak correlations between in vitro bond strength or marginal adaptation and clinical outcomes, lending support to the use of in vitro tests in early stages of material selection. • In vitro outcomes differed significantly between the restorative material groups. • µTBS correlated significantly with certain clinical outcomes of Class I restorations. • µSBS correlated with certain clinical outcomes of Class II - V restorations. • Marginal integrity parameters correlated with certain clinical outcomes of Class II restorations. • In vitro tests can predict clinical performance to some extent. [ABSTRACT FROM AUTHOR]

Bisphenol A glycidyl methacrylate (Bis-GMA) is of great importance for dental materials as the preferred monomer. However, the presence of bisphenol-A (BPA) core in Bis-GMA structure causes potential concerns since it is associated with endocrine diseases, developmental abnormalities, and cancer lesions. Therefore, it is desirable to develop an alternative replacement for Bis-GMA and explore the intrinsic relationship between monomer structure and resin properties. Here, the betulin maleic diester derivative (MABet) was synthesized by a facile esterification reaction using plant-derived betulin and maleic anhydride as raw materials. Its chemical structure was confirmed by 1H and 13C NMR spectra, FT-IR spectra, and HR-MS, respectively. The as-synthesized MABet was then used as polymerizable comonomer to partially or completely substitute Bis-GMA in a 50:50 Bis-GMA: TEGDMA resin (5B5T) to formulate dental restorative resins. These were then determined for the viscosity behavior, light transmittance, real-time degree of conversion, residual monomers, mechanical performance, cytotoxicity, and antibacterial activity against Streptococcus mutans (S. mutans) in detail. Among all experimental resins, increasing the MABet concentration to 50 wt% made the resultant 5MABet5T resin have a maximum in viscosity and appear dark yellowish after polymerization. In contrast, the 1MABet4B5T resin with 10 wt% MABet possessed comparable shear viscosity and polymerization conversion (46.6 ± 1.0% in 60 s), higher flexural and compressive strength (89.7 ± 7.8 MPa; 345.5 ± 14.4 MPa) to those of the 5B5T control (48.5 ± 0.6%; 65.7 ± 6.7 MPa; 223.8 ± 57.1 MPa). This optimal resin also had significantly lower S. mutans colony counts (0.35 ×108 CFU/mL) than 5B5T (7.6 ×108 CFU/mL) without affecting cytocompatibility. Introducing plant-derived polymerizable MABet monomer into dental restorative resins is an effective strategy for producing antibacterial dental materials with superior physicochemical property. [Display omitted] • Plant-derived betulin is used as the raw bio-based diols to synthesize MABet. • The MABet concentration in dental resins affected their physicochemical properties. • The 1MABet4B5T resin with 10 wt% MABet exhibited stronger antibacterial activity. [ABSTRACT FROM AUTHOR]

An increasing number of CAD/CAM (computer-aided design/computer-aided manufacturing) hybrid materials have been introduced to the dental market in recent years. In addition, CAD/CAM hybrid materials for additive manufacturing (AM) are becoming more attractive in digital dentistry. Studies on material microstructures using micro-computed tomography (µ-CT) combined with scanning electron microscopy (SEM) have only been available to a limited extent so far. One CAD/CAM three-dimensional- (3D-) printable hybrid material (VarseoSmile Crown plus) and two CAD/CAM millable hybrid materials (Vita Enamic; Voco Grandio), as well as one direct composite material (Ceram.x duo), were included in the present study. Cylindrical samples with a diameter of 2 mm were produced from each material and investigated by means of synchrotron radiation µ-CT at a voxel size of 0.65 µm. Different samples from the same materials, obtained by cutting and polishing, were investigated by SEM. The 3D-printed hybrid material showed some agglomerations and a more irregular distribution of fillers, as well as a visible layered macrostructure and a few spherical pores due to the printing process. The CAD/CAM millable hybrid materials revealed a more homogenous distribution of ceramic particles. The direct composite material showed multiple air bubbles and microstructural irregularities based on manual processing. The µ-CT and SEM analysis of the materials revealed different microstructures even though they belong to the same class of materials. It could be shown that µ-CT and SEM imaging are valuable tools to understand microstructure and related mechanical properties of materials. • µ-CT and SEM imaging are valuable tools to understand material microstructure. • Mechanical properties might be derivable from the microstructure of the material. • Deviations from a homogeneous microstructure may influence material properties. [ABSTRACT FROM AUTHOR]

Comparative studies of interim veneer restorations crafted using subtractive computer-aided manufacturing (s-CAM) milling technology and traditional direct hand-made approaches are needed. This comparative in vitro study evaluated the fracture resistance of two types of provisional veneer restorations for maxillary central incisors: milled (s-CAM) and traditional direct hand-made bis-acryl veneers. Fifty maxillary right central incisor veneers (25 specimens per group) were fabricated and divided according to the fabrication method: (1) s-CAM milled (Structure CAD, VOCO Dental); and (2) hand-made (Protemp Plus, 3M). The restorations were cemented onto 3D-printed resin dies using temporary cement and subjected to 1000 cycles of thermal cycling between 5° and 55 °C. These restorations subsequently were subjected to compressive loading until fracture occurred. Images of the fractured samples were captured using a scanning electron microscope (SEM). Statistical analysis was performed using the one-way ANOVA test and the Mann-Whitney U test. Significant differences (p < 0.001) in the fracture resistance were observed between the two groups. s-CAM milled interim veneers displayed higher fracture resistance values (439.60 ± 26 N) compared to the traditional method (149.15 ± 10 N). The manufacturing method significantly influences the fracture resistance of interim veneer restorations. s-CAM interim laminate veneer restorations for maxillary central incisors exhibit a fracture resistance superior to that of the traditional method using bis-acryl. Clinical relevance Clinicians should consider CAD/CAM milled veneers for scenarios demanding long-term interim restoration and the withstanding of high occlusal forces. [ABSTRACT FROM AUTHOR]

Due to their remarkable mechanical properties and biocompatibility, zirconia toughened alumina (ZTA) based composites are preferred materials for dental and orthopedic uses. This study focuses on the production and characterization of hexagonal boron nitride (BN) containing ZTA ceramics. To achieve this, we formulated composite systems with a composition of 70Al 2 O 3 -(30-x)YSZ-(x)BN (in vol%, where x ranges from 1 to 5). These mixtures were densified via spark plasma sintering (SPS) at a temperature of 1350 °C under a pressure of 40 MPa, with a dwell time of 5 min. The densification, resulting microstructure, and mechanical properties, including Vickers hardness and indentation fracture toughness, were thoroughly examined. All ZTA-BN composites achieved sintering densities exceeding 98.5% of their theoretical values. Incorporating BNs into ZTA composites increased fracture toughness by ∼55% while maintaining Vickers hardness values. Notably, crack deflection mechanism played a dominant role in toughening, particularly for the composite containing 3 vol% BNs. Furthermore, in vitro biocompatibility assessment of the YZTAB3 sample demonstrated that the composite had no cytotoxic effects towards human bone cells, indicating its potential for biomedical applications. [ABSTRACT FROM AUTHOR]

The objective was to discuss the research on zirconia published in the past 15 years to help the dental materials community understand the key properties of the types of zirconia and their clinical applications. A literature search was performed in May/2023 using Web of Science Core Collection with the term "dental zirconia". The search returned 5102 articles, which were categorized into 31 groups according to the research topic. The current approach to improving the translucency of zirconia is to decrease the alumina content while increasing the yttria content. The resulting materials (4Y-, 5Y-, and above 5 mol% PSZs) may contain more than 50% of cubic phase, with a decrease in mechanical properties. The market trend for zirconia is the production of CAD/CAM disks containing more fracture resistant 3Y-TZP at the bottom layers and more translucent 5Y-PSZ at the top. Although flaws located between layers in multilayered blocks might represent a problem, newer generations of zirconia layered blocks appear to have solved this problem with novel powder compaction technology. Significant advancements in zirconia processing technologies have been made, but there is still plenty of room for improvement, especially in the fields of high-speed sintering and additive manufacturing. The wide range of zirconia materials currently available in the market may cause confusion in materials selection. It is therefore imperative for dental clinicians and laboratory technicians to get the needed knowledge on zirconia material science, to follow manufacturers' instructions, and to optimize the design of the prosthetic restoration with a good understanding where to reinforce the structure with a tough and strong zirconia. [Display omitted] • The trend for dental zirconia is the production of composition-gradient materials. • More translucent dental zirconia results from low alumina and high yttria contents. • Flaws between layers in multilayered blocks decrease the mechanical properties. • Improvements regarding high-speed sintering and additive manufacturing are needed. [ABSTRACT FROM AUTHOR]

Mineral trioxide aggregate (MTA) is a biomaterial used in endodontics due to its high bioactivity, antibacterial behaviors, and good biocompatibility. However, it has several disadvantages related to certain physical properties, including a long setting time and poor mechanical properties. Therefore, we hypothesized that coating MTA with gallic acid (GA) would regulate physical properties and lead to enhanced adhesion, proliferation, and secretion of angiogenic- and odontogenic-related proteins. This study examined whether MTA can be modified with GA to form GAMTA cement and evaluated its physicochemical and biological behaviors and immune suppression, angiogenesis, and odontogenesis capabilities. We soaked MTA in Tris buffer containing different concentrations of GA to coat the MTA powders. X-ray diffraction (XRD) and diametral tensile strength analyses were conducted to assess the physical characteristics of GAMTA. Then, we immersed GAMTA cement in simulated body fluid to evaluate its hydroxyapatite precipitation capabilities and silicon ion release profile. We used human dental pulp stem cells to assess the cell responses and the immunosuppressive, angiogenic, and odontogenic capabilities of GAMTA. The XRD results showed that GA was successfully coated onto MTA without the disruption or loss of MTA's advantageous original structural properties. GAMTA demonstrated excellent physicochemical and biological properties, improving hydroxyapatite formation and angiogenic, odontogenic, and anti-inflammatory properties compared with MTA alone. Our results indicate that the GAMTA cement is a useful dental material for future tissue engineering and clinical applications. [ABSTRACT FROM AUTHOR]

Zirconia based materials are widely used as dental materials because of their good mechanical properties and aesthetic, but there is a need of enhancing its biological response for clinical use. In that sense, a bioactive glass is added to zirconia matrix with the aim of improving the material biocompatibility. The effect of the raw powders synthesis method for dense zirconia/bioactive glass biomaterials was investigated. Two paths were developed to obtain zirconia-based composites with 2.5, 5 and 10 wt% addition of a bioactive glass (referred as 64S): the traditional powder mixture method, and a core-shell powder through sol-gel particle nanocoating. Particle size distribution and SEM images were performed for the powders characterization. Sol-gel coating was analyzed with TEM images and FT-IR spectra. The sintering process was studied with an optical dilatometer up to 1450 °C, and the density of the samples was calculated with the Archimedes method, in the range of 1100–1500 °C. The final crystalline phases were studied with Rietveld quantification through XRD analysis and the microstructure with SEM/EDS analysis. Vickers indentation method was used to evaluate the hardness. Biological properties were studied with murine fibroblast cell line L929 and were analyzed by fluorescence microscopy. Results showed that samples obtained by the sol-gel particle coating method enhanced the sintering process, with a sintering temperature in the range 1300–1400 °C; they showed a more homogeneous and pore-free microstructure with a higher retention of the t-ZrO 2 phase after cooling, in comparison with the samples obtained by the powder mixture method. The Vickers hardness of composites obtained by the core-shell particles had values above 11 GPa, and composites with 2.5 and 5 wt% 64S, sintered at 1400 °C, presented Vickers values of ∼13 GPa. Furthermore, biocompatibility was promoted with the addition of 64S glass, independently of the raw powders synthesis method. [Display omitted] [ABSTRACT FROM AUTHOR]

• MTA is the gold standard as the biomaterial of choice in vital pulp therapies, however there is growing interest in Biodentine from the scientific community; • When it comes to vital pulp therapies, the literature has received a recent spike in publications, so the date of publication of the article is not directly related to its prestige; • Henry F Duncan and Lars Bjørndal appear as the authors who published the most in the list of the 50 most cited articles in vital pulp therapies; • This work aims to help student and researchers in the field of endodontics as an impressive source of information. The aim of this study was to identify and analyze the most cited articles on vital pulp therapies. Bibliographical data related to the abstract, citations, keywords, and other relevant information was extracted using different combinations of keywords. Further evaluation and visualization of the selected data were performed with the help of various tools, including MS Excel, Microsoft Word, Google open refine, BibExcel, and VOS viewer. An initial search revealed 91 documents, of which 40 were chosen for further analysis. We used the Kolmogorov–Smirnov test and Spearman correlation coefficient test, and our adopted significance level was p < 0.05. In total, the articles received 1,905 citations, with six of them receiving at least 100 citations. Among the top 40 articles, the United States of America (10 articles) and Ireland (6 articles) were the countries with the highest number of cited articles. The journals "Journal of Endodontics" (14 articles; 650 citations) and "International Endodontic Journal" (13 articles; 577 citations) published most of the articles among the 50 most cited ones. Duncan H. was the author with the highest number of works cited (11 articles; 339 citations). Of the articles, systematic reviews accounted for 32%, literature reviews for 14%, in vitro experimental studies for 12%, clinical trials for 8%. Among the biomaterials used in vital pulp therapies, mineral trioxide aggregate (MTA) was discussed in 37 articles (74%), followed by calcium hydroxide, mentioned in 30 studies (60%). Interestingly, the publication year did not demonstrate a significant impact on citation count. The present study provided a detailed list of the top 50 most cited and classic articles on vital pulp therapies. This will help researchers, students, and clinicians in the field of endodontics with an impressive source of information. [ABSTRACT FROM AUTHOR]

Although the introduction of self-adhesive composites in restorative dentistry is very promising, the innovation of new materials also presents challenges and unknowns. Therefore, the aim of this study was to investigate the cytotoxicity of four different self-adhesive composites (SAC) in vitro and to compare them with resin-modified glass ionomer cements (RM-GIC), a more established group of materials. Samples of the following materials were prepared according to ISO 7405/10993–12 and eluted in cell culture medium for 24 h at 37 °C: Vertise Flow, Fusio Liquid Dentin, Constic, Surefil One, Photac Fil and Fuji II LC. Primary human pulp cells were obtained from extracted wisdom teeth and cultured for 24 h with the extracts in serial dilutions. Cell viability was evaluated by MTT assay, membrane disruption was quantified by LDH assay and apoptosis was assessed by flow cytometry after annexin/PI staining. Two SAC (Constic and Vertise Flow) and one RM-GIC (Photac Fil) significantly reduced cell viability by more than 30% compared to the untreated control (p < 0.001). Disruptive cell morphological changes were observed and the cells showed signs of late apoptosis and necrosis in flow cytometry. Membrane disruption was not observed with any of the investigated materials. Toxic effects occurred independently of the substance group and need to be considered in the development of materials with regard to clinical implications. SAC have many beneficial qualities, however, the cytotoxic effects of certain products should be considered when applied in close proximity to the dental pulp, as is often required. • Constic, Vertise Flow, and Photac Fil exhibited cytotoxicity. • Cytoxic effects were consistent across material groups. • Primary pulp cells demonstrated durability, indicating efficient repair mechanisms. [ABSTRACT FROM AUTHOR]

The current dental resin composites often suffer from polymerization shrinkage, which can lead to microleakage and potentially result in recurring tooth decay. This study presents the synthesis of a novel monomer, (3,9-diethyl-1,5,7,11-tetraoxaspiro[5,5]undecane-3,9-diyl)bis(methylene) bis((2-(3-(prop-1-en-2-yl)phenyl)propan-2-yl)carbamate) (DDTU-IDI), and evaluates its effect in the formulation of low-shrinkage dental resin composites. DDTU-IDI was synthesized through a two-step reaction route, with the initial synthesis of the required raw material monomer 3,9-diethyl-3,9-dihydroxymethyl-1,5,7,11-tetraoxaspiro-[5,5] undecane (DDTU). The structures were confirmed using Fourier-transform infrared (FT-IR) spectroscopy and hydrogen nuclear magnetic resonance (1HNMR) spectroscopy. Subsequently, DDTU-IDI was incorporated into Bis-GMA-based composites at varying weight percentages (5, 10, 15, and 20 wt%). The polymerization reaction, degree of conversion, polymerization shrinkage, mechanical properties, physicochemical properties and biocompatibility of the low-shrinkage composites were thoroughly evaluated. Furthermore, the mechanical properties were assessed after a thermal cycling test with 10,000 cycles to determine the stability. The addition of DDTU-IDI at 10, 15, and 20 wt% significantly reduced the polymerization volumetric shrinkage of the experimental resin composites, without compromising the degree of conversion, mechanical and physicochemical properties. Remarkably, at a monomer content of 20 wt%, the polymerization shrinkage was reduced to 1.83 ± 0.53%. Composites containing 10, 15, and 20 wt% DDTU-IDI exhibited lower water sorption and higher contact angle. Following thermal cycling, the composites exhibited no significant decrease in mechanical properties, except for the flexural properties. Significance. DDTU-IDI has favorable potential as a component which could produce volume expansion and increase rigidity in the development of low-shrinkage dental resin composites. The development of low-shrinkage composites containing DDTU-IDI appears to be a promising strategy for reducing polymerization shrinkage, thereby potentially enhancing the longevity of dental restorations. • A new monomer "DDTU-IDI" was synthesized through a simple two-step reaction route. • The composites containing 10 wt% ∼ 20 wt% DDTU-IDI exhibited low polymerization shrinkage. • The addition of DDTU-IDI effectively maintained the mechanical properties of the composites. • The composites containing DDTU-IDI showed favorable resistance to aging. • The novel composites may be a promising dental restoration material in reducing the occurrence of secondary caries. [ABSTRACT FROM AUTHOR]

The formation of dental plaque is well-known for its role in causing various oral infections, such as tooth decay, inflammation of the dental pulp, gum disease, and infections of the oral mucosa like peri-implantitis and denture stomatitis. These infections primarily affect the local area of the mouth, but if not treated, they can potentially lead to life-threatening conditions. Traditional methods of mechanical and chemical antimicrobial treatment have limitations in fully eliminating microorganisms and preventing the formation of biofilms. Additionally, these methods can contribute to the development of drug-resistant microorganisms and disrupt the natural balance of oral bacteria. Antimicrobial photodynamic therapy (aPDT) is a technique that utilizes low-power lasers with specific wavelengths in combination with a photosensitizing agent called photosensitizer to kill microorganisms. By inducing damage through reactive oxygen species (ROS), aPDT offers a new approach to addressing dental plaque and associated microbial biofilms, aiming to improve oral health outcomes. Recently, photosensitizers have been incorporated into dental materials to create photosensitive dental materials. This article aimed to review the use of photosensitive dental materials for aPDT as an innovative antimicrobial option in dentistry, with the goal of enhancing oral health. [ABSTRACT FROM AUTHOR]

Computer aided implant surgery has been widely adopted in modern implant dentistry. However, absence of reliable anatomic landmarks for superimposing digital data sets for patients with terminal dentition or complete edentulism remained challenging. Utilization of additional fiducial markers intraorally as the reference points for the improvement of accuracy became crucial in implant digital workflow. Nevertheless, the choice of the material for fiducial markers should present the least radiographic artifacts under cone beam computed tomography (CBCT) for better accuracy. The aim of this in vitro study was to investigate the volume of radiographic artifacts generated through different materials under the image of CBCT. Fifteen dental materials were selected and configured into cubic shape. All the materials were scanned initially with the laboratory scanner as the control groups. The samples were scanned by CBCT machine as test groups and the volume of artifact generated under CBCT images were compared and analyzed using 3D modeling software. Eleven out of fifteen materials could be recognized under CBCT images. Volumetric analysis reported that statistically significant differences among the materials could be noted, and the flowable composite resin presented the least volumetric difference. Lithium disilicate glass-ceramic, flowable composite resin, and gutta-percha presented the least deformation and maintained their cubic shapes. The results of the present study may imply that flowable composite resin compared to all ceramic materials, amalgam and gutta-percha may be a preferable choice when utilized as fiducial markers under CBCT images. [ABSTRACT FROM AUTHOR]

To evaluate the initial bacterial adherence and biofilm formation on novel restorative materials in paediatric dentistry and compare the results to stainless steel crown and primary enamel. Twenty-five samples (Diameter = 4 mm) from five restorative materials (Tetric Power Fill light cured for 3 s or 10 s, Fuji II LC, Equia Forte HT Fil, Cention Forte, Stainless-steel crown) and primary enamel were prepared. Four samples served for recording of surface roughness (R a) using a contact profilometer, 21 samples were incubated in stimulated human saliva for 2 h (initial bacterial adherence) and 72 h (biofilm formation) and served to determine ion releasing and bacterial growth. After 2 and 72 h, the number of colony-forming units (CFU) per ml was counted and expressed in Log 10 CFU/ml. Data were analysed with two-way ANOVA and Tuckey's multiple comparisons test (p < 0.05). All tested materials showed similar initial bacterial adherence (p > 0.1). Stainless steel crown showed statistically significantly less biofilm formation than all other tested materials (p ≤ 0.02), except for Fuji II LC (p = 0.06). In terms of biofilm formation, the differences between all tested materials were not statistically significant (p ≥ 0.9). Novel restorative materials in paediatric dentistry show similar initial bacterial adherence and biofilm formation. However, compared to other restorative materials, stainless steel crowns demonstrate the lowest level of biofilm formation. Ion-releasing materials may not necessarily show better antimicrobial properties than conventional materials. [ABSTRACT FROM AUTHOR]

The Dental Biomaterials Adverse Reaction Unit was initiated by the Norwegian health authorities in 1992 as a response to the public concern regarding the safety of dental amalgam and other dental materials. In this paper, experiences from the Unit are briefly summarized. The Norwegian health authorities' strategy included four main topics: (i) development of a manufacturer-independent system for monitoring adverse reactions related to dental materials, (ii) funding of a specialty unit for clinical examinations of referred patients, (iii) development of official guidelines for examination and treatment of patients with health complaints attributed to dental materials, and (iv) funding of an experimental treatment project for patients with health complaints attributed to dental amalgam. From the start, more than 2700 adverse reaction reports were received. In the initial years, amalgam was the most frequent material mentioned in the reports. Reports about polymer-based composite materials have not increased after the prohibition of amalgam in Norway. Clinical examination of referred patients is complex and time consuming, and it is important to consider differential diagnoses. There are methodological challenges associated with the design of experimental treatments used on patients with adverse reactions attributed to dental materials. However, the results from the treatment project indicate lower symptom load after replacement of amalgam with other dental restorative materials. Producer independent adverse reaction reporting can provide valuable information about the safety of these materials and could serve as a complement to the mandatory reporting system described in the European medical device regulations (MDR). • Adverse reaction reporting regarding dental materials can provide valuable information about the safety of these materials. • There is no increase of reports related to polymer-based restorative materials after the ban of amalgam in Norway in 2008. • Examination of patients with adverse reactions attributed to dental materials can be complex and time consuming. • Lack of detailed information on ingredients can be a challenge in the evaluation of causes for clinical adverse reactions. • Patients with adverse reactions attributed to dental amalgam experience lower symptom load after replacement of materials. [ABSTRACT FROM AUTHOR]

Dental composites lack inherent antimicrobial activity, leading to secondary caries and restoration failure. This study developed a novel thyme oil/TiO 2 nanoparticle filler to impart sustainable antibacterial functions to dental resins. TiO 2 nanoparticles were synthesized via a sol-gel method and characterized as 20–30 nm crystalline anatase particles. Functionalization with thyme oil was confirmed by FTIR, with 5.8% thyme oil content measured by TGA. Resin disks containing 0.5–2 wt% thyme-TiO 2 exhibited significant inhibition zones against S. mutans , L. acidophilus and C. albicans (8–12 mm) compared to thyme oil-free controls (0 mm) (p < 0.05). Thyme-TiO 2 at 1–2 wt% showed sustained release of thyme oil over 15 days with bacterial viability reduction of 68–99% compared to unmodified resin (p < 0.05). Resin-dentin microtensile bond strengths were 45–50 MPa for 0.5–2 wt% thyme-TiO 2 and not significantly different from control (p > 0.05). Likewise, flexural strength, elastic modulus and surface microhardness values were unchanged with thyme-TiO 2 incorporation ≤ 2 wt% (p > 0.05). DPSC viability was > 90% for all resins, indicating good cytocompatibility. Overall, the thyme-TiO 2 nanocomposite successfully endowed the dental resin with potent, long-lasting antibacterial effects without compromising key mechanical properties. [ABSTRACT FROM AUTHOR]

Utilizing Ti and Ti alloys as dental materials established a huge spurt in the field of dentistry. Since implantation is an invasive procedure that involves tissue penetration, infection control is mandatory for increasing the success rate of the implant treatment. In this study, we aimed to assess the impact of the surface physicochemical properties of acid-treated Ti on microorganisms specifically bacteria. After investigating the surface morphology and characteristics of acid-treated and untreated Ti sheets, we evaluated their potential to capture Escherichia coli (E. coli.) as well as the latter's survival on the surface of both types of sheets. Finally, we assessed the efficiency of the antibacterial properties exhibited by Ti against the oral microflora. SEM images revealed surface roughening of the acid-treated Ti represented by significantly irregular shape. Moreover, the acid-treated Ti exhibited remarkable hydrophobicity. A quantitative evaluation confirmed that acid-treated Ti has higher bacterial capture and antibacterial properties than untreated Ti. Further experiments showed similar effects of both types of Ti not only on E. coli but also on oral microflora. Results suggest that acid treatment of Ti surface is a potent technique for enhancing the antibacterial properties of Ti-derived materials. [ABSTRACT FROM AUTHOR]

New bioactive materials were introduced to not only restore the lost dental hard tissue but also to release fluoride that inhibits demineralization and occurrence of secondary caries. The current study thus aims to assess Fluoride release as well as the mechanical and physical properties of two new commercially available bioactive restorative materials. Two materials, Cention® Forte (CF) (Ivoclar Vivadent), Surefil one™ (SO) (Denstply Sirona), were evaluated in terms of fracture toughness (FT), flexural strength (FS), flexural modulus (FM) (ISO 4049), compressive strength (CS), and Vickers hardness (VH). In addition, thermogravimetric analysis (TGA) was performed, as well as pH measurements and quantification of Fluoride release after immersion in distilled water at times of 0, 7, 14 and 21 days. The sealing ability was evaluated using silver nitrate dye penetration on natural teeth. Finally, Energy-Dispersive X-Ray Spectroscopy (EDX) was used to investigate the surface composition of the two studied material surfaces. The data were statistically analyzed using Independent T-Tests; the chosen significance level was α = 0.05. CF had significantly higher FT values compared to SO (p = 0.001). Also the FS results showed that CF had significantly higher values (90.11 MPa), followed by SO (22.15 MPa). The CS values showed the same order with significantly higher values for CF (231.79 MPa). While the FM and VH showed the reverse order with SO having significantly higher values than CF. pH measurements showed that CF evolved towards significantly higher pH values after 3 weeks in distilled water, while thermal properties showed more stability and higher resistance to degradation for CF compared to SO. The silver nitrate penetration results showed significantly better sealing ability for CF compared to the self-adhesive SO. Finally, EDX surface analysis results were consistent with the release profiles and confirmed the composition of the two tested materials. Both materials, demonstrated enhanced Fluoride release ability, and hence good remineralisation potential in vitro that could prevent recurrent carious lesions in vivo. The composition based on acrylic polymerization showed better mechanical resistance to bending and fracture, and higher sealing ability than those based on acid base reaction. [ABSTRACT FROM AUTHOR]

Investigate attrition simulation using CAD/CAM leucite-reinforced glass-ceramic antagonists on occlusal vs. buccal enamel. Three dental materials with known wear rates (resin-modified glass-ionomer, micro-filled, and fine particle composites) validated the wear simulator (CAD/CAM glass-ceramic antagonists, 200 cycles, 80 N load, deionised water irrigation, 0.7 mm sliding movement). Following this, human molars were sectioned into paired occlusal and buccal polished samples (n = 8/gp). Exposed 1.5 mm Ø enamel areas were subjected to attritional wear with and without pre-immersion in citric acid (5 min, 0.3%, pH 3.8). Profilometry measured step-height enamel wear and surface microhardness at different depths was calculated using Vickers indentation at 0.1 N and 0.5 N loads. Dental material wear using the CAD/CAM antagonists showed consistency with previous data: mean (SD) resin-modified glass ionomer material loss of 177.77 (16.89) µm vs. 22.15 (1.30) µm fine particle hybrid composite resin wear vs. 13.63 (1.02) µm micro filled composite resin wear (P < 0.001). The coefficient of variation was less than 10%. Following validation, enamel sample wear was significantly increased when attrition was introduced (P < 0.001) independent of buccal vs. occlusal sample location (P < 0.05). Attrition resulted in occlusal wear of 26.1 ± 4.5 µm vs. buccal 26.3 ± 1.2 µm and attrition/erosion resulted in occlusal wear of 26.05 ± 4.46 µm vs. buccal 25.27 ± 1.16 µm. Whereas erosion-alone resulted in occlusal wear of 1.65 ± 0.13 µm and buccal 1.75 ± 0.03 µm. Microhardness testing at different loads revealed significantly greater hardness reductions in occlusal enamel vs. buccal enamel for 0.1 KgF indentations (P < 0.001) whereas in contrast 0.5 KgF indentations showed no differences. Wear simulation with CAD/CAM glass ceramic antagonists produced consistent wear in dental materials and human enamel, regardless of enamel surface origin. Lighter (0.1 KgF) hardness testing of occlusal vs. buccal origin revealed damage to the mechanical integrity of the superficial worn enamel. • Valid attritional wear simulation requires a co-efficient of variation ∼10%. • CAD/CAM leucite-reinforced glass-ceramic antagonists can simulate attrition. • Occlusal and buccal polished enamel samples wear at similar rates in vitro. • Attrition results in subsurface damage of human enamel due to mechanical wear. [ABSTRACT FROM AUTHOR]

To assess the impact of pH level on force decay and color stability of orthodontic elastomeric chains (EOC) after exposure to commonly used beverages. A total of 120 chain cuts were prepared from 2 different manufacturers (GC Orthodontics Europe GmbH, Breckerfeld, Germany, and FORESTADENT® - Bernhard Foerster GmbH, Pforzheim, Germany). According to the distance between loops, two types of chains were selected from each manufacturer: short and medium ones. Chains were immersed into 10 commonly used beverages with different pH values. After 7 days, force degradation was evaluated with the universal machine for mechanical testing (Model 4411; Instron, Canton, USA) and color change using a VITA Easyshade® digital spectrophotometer. Kruskal-Wallis with post-hoc Dunn's test for intergroup comparison and Wilcoxon rank test for intragroup comparison. Initial force varied among EOC brands, with GC short chains having the highest force and Forestadent medium chains the lowest. The most pronounced force decay occurred within 24 h, notably affecting Forestadent short chains the most, followed by Forestadent medium, GC short, and GC medium chains. Despite a higher force drop rate over seven days, short EOCs maintained higher forces than medium EOCs. GC EOCs consistently maintained higher forces after seven days compared to Forestadent EOCs. After the immersion of EOC in different solutions for 24 h, only Evian water, Soy milk, and Coconut water did not change color. After 7 days, the greatest color change was recorded in coffee. There is no correlation between pH value and force decay of polyurethane chains. Short chains showed more constant force delivery and greater value of remaining force in comparison to medium ones. Color stability was mostly affected by coffee, followed by matcha tea, soy milk, and apple juice. [ABSTRACT FROM AUTHOR]

3Y-TZP ceramics are widely used in dental restoration materials due to their excellent biocompatibility, mechanical properties, and aesthetics. However, the low temperature aging characteristics seriously affect the service life of 3Y-TZP. This study aimed to investigate the mechanical properties, low temperature degradation properties and biocompatibility of a certain amount of alumina doped dental 3Y-TZP ceramics. The 3Y-TZP powder was produced by co-precipitation and then combined in a predetermined ratio with alumina powder. The fitting results of the Johnson-Mehl-Avramorow-Kolmogorow (JMAK) equation shows that the doping of alumina is beneficial to improve the low temperature degradation resistance of 3Y-TZP. The doped 3Y-TZP exhibited favorable biocompatibility, indicating its potential suitability as a dental restorative material. [ABSTRACT FROM AUTHOR]

To determine the effects of using K18-methyl methacrylate (K18-MMA) and K18-Filler on composite cure, esthetic, mechanical, polymerization shrinkage, and antimicrobial properties. K18-MMA (0–20% w/w) was used to replace TEGDMA in a 70:30 Bis-GMA:TEGDMA composite filled to 70% w/w with barium glass or K18-Filler. Composite degree of cure (Rockwell 15T hardness and near Infrared FTIR), hydrophilicity (contact angle measurements), translucency (transparency parameter measurements, TP), mechanical (3-point bend test), polymerization shrinkage (volumetric shrinkage and shrinkage stress), and antimicrobial properties (colony counting assay) against Streptococcus mutans , Streptococcus sanguinis , and Candida albicans were determined. All experimental groups had comparable degrees of cure (near Infrared FTIR and Rockwell 15T Hardness), TP, moduli, polymerization volumetric shrinkages and shrinkage stresses to those of controls (Bonferroni corrected p > 0.0018). Only one group (15% K18-MMA+K18-Filler) had significantly different (lower) contact angles as compared to that of controls (Bonferroni corrected p < 0.0018). Most of the K18-Filler-containing composites had significantly lower ultimate transverse strengths (UTS) than controls (Bonferroni corrected p < 0.0018). Controls had significantly greater S mutans colony counts than 15% and 20% w/w K18-MMA+K18-Filler groups, and greater S sanguinis and C albicans colony counts than K18-containing groups. Of the composites with that provided significant antimicrobial properties against S. mutans, S. sanguinis, and C. albicans , only the 20% K18-MMA+K18-Filler group had significantly lower UTS than controls. Composites with K18-MMA and K18-Filler with comparable physical properties to control composites and significant antimicrobial properties have been developed. K18-MMA and K18-Filler seem to be suitable for incorporation into commercial dental resins. [ABSTRACT FROM AUTHOR]

Zirconia-based dental restorations and implants are gaining attention due to their bioactivity, corrosion resistance and mechanical stability. Further, surface modification of zirconia implants has been performed at the macro-, micro- and nanoscale to augment bioactivity. While zirconia's physical and chemical characteristics have been documented, its relation to mechanical performance still needs to be explored. This extensive review aims to address this knowledge gap. This review critically compares and contrasts the findings from articles published in the domain of 'mechanical stability of zirconia\ in dentistry' based on a literature survey (Web of Science, Medline/PubMed and Scopus databases) and a review of the relevant publications in international peer-reviewed journals. Reviewing the published data, the mechanical properties of zirconia, such as fracture resistance, stress/tension, flexural strength, fatigue, and wear are detailed and discussed to understand the biomechanical compatibility of zirconia with the mechanical performance of modified zirconia in dentistry also explored. A comprehensive insight into dental zirconia's critical fundamental mechanical characteristics and performance is presented. Further, research challenges and future directions in this domain are recommended. This review extends existing knowledge of zirconia's biomechanical performance and it they can be modulated to design the next generation of zirconia dental restorations and implants to withstand long-term constant loading. [Display omitted] • Zirconia holds great promise as the next dental material choice. • Mechanical characteristics and performance of Zirconia in dentistry are poorly understood and optimized. • This pioneering review discusses the mechanical stability of Zirconia and its modifications towards long-term clinical success in dentistry. • The study informs the reader of the latest developments, research challenges and future directions relating to the mechanical performance of Zirconia for applications as a dental material. [ABSTRACT FROM AUTHOR]