Search

Objective: To assess the efficacy of an electrically assisted application technique on dentine wettability (water contact angle measurements) and to determine the promoted surface roughness of dentine after applying 37% phosphoric acid etching, a self-etching primer or a self-etching adhesive system. Methods: Wettability was assessed on 30 caries-free extracted human third molars. Specimens were sectioned parallel to the occlusal surface to expose moderately deep dentine and ground flat (water-wet 180-grit SiC) to provide uniform flat surfaces. 37% H(3)PO(4), Clearfil SE Bond (CSEB) primer or Prompt-L-Pop (PLP) adhesive system were applied on dentine surfaces. In half of the specimens, the electric impulse-assisted application technique/ElectroBond-assisted application was followed. Contact angle measurements were performed to assess wettability using the Axisymmetric Drop Shape Analysis technique. Additional surfaces were conditioned for atomic force microscopy (AFM) analysis. Two-way ANOVA, Student's t and Student-Newman-Keuls tests were performed (P < 0.05). Results: PLP-treated dentine showed the highest intertubular roughness and the lowest dentine wettability. ElectroBond application reduced water contact angles when dentine was treated with H(3)PO(4) or Clearfil SE Bond primer, but not when dentine was treated with PLP. Conclusions: The use of electric current improved wettability of dentine surface following application of phosphoric acid and a mild self-etch primer, but not self-etch adhesive. (C) 2010 Elsevier Ltd. All rights reserved.

BACKGROUND: The National Pediatric Oncology Unit (UNOP) is the only pediatric hemato-oncology center in Guatemala. METHODS: Patients ages 1 to 17 years with acute lymphoblastic leukemia (ALL) were treated according to modified ALL Intercontinental Berlin-Frankfurt-Münster (IC-BFM) 2002 protocol. Risk classification was based on age, white blood cell count, immunophenotype, genetics (when available), and early response to therapy. RESULTS: From July 2007 to June 2014, 787 patients were treated, including 160 who had standard-risk ALL, 450 who had intermediate-risk ALL, and 177 who had high-risk ALL. The induction death rate was 6.6%, and the remission rate was 92.9%. The rates of death and treatment abandonment during first complete remission were 4.8% and 2.5%, respectively. At a median observation time of 3.6 years, and with abandonment considered an event, the 5-year event-free survival and overall survival estimates (± standard error) were 56.2% ± 2.1% and 64.1% ± 2.1%, respectively, with a 5-year cumulative incidence of relapse of 28.9% ± 2.0%. Twenty-one of 281 patients (7.5%) investigated were positive for the ets variant 6/runt-related transcription factor 1 (ETV6/RUNX1) fusion. CONCLUSIONS: A well organized center in a low-middle-income country can overcome the disadvantages of malnutrition and reduce abandonment. Outcomes remain suboptimal because of late diagnosis, early death, and a high relapse rate, which may have a partly genetic basis. Earlier diagnosis, better management of complications, and better knowledge of ALL will improve outcomes. Cancer 2017;123:436–448. © 2016 American Cancer Society.

Objective: To evaluate the effect of different chemo-mechanical surface treatments on the morphology of three recently marketed dental zirconia ceramics. Materials and methods: Ceramic discs (Ø 10 mm × 1 mm height) were obtained from three sintered zirconia ceramics (Lava™, Cercon®, and Aadva Zr) and treated with: (1) airborne particle abrasion with 125 μm Al2O3 particles (S); (2) selective infiltration etching (SIE); (3) experimental hot etching solution applied for 30 min (ST); (4) no treatment (C). Five discs per group were used for surface roughness analysis using an atomic force microscope (AFM). Data were statistically analyzed by Kruskall-Wallis analysis of variance and Mann-Whitney tests (α < 0.05). The same discs were evaluated under SEM for surface topography analysis. Three discs per group were cemented to a composite overlay (Paradigm MZ100) with a total-etch resin luting agent (Calibra) and cross-section interfacial analysis was performed under SEM. Results and Significance: Airborne particle abrasion improved the average surface roughness of Cercon® and Lava (p < 0.05) while SIE induced significant changes on Lava and Adava Zr. Statistical differences in surface roughness were recorded after selective infiltration etching when compared to no treated group, independently from the zirconia type. SEM and AFM analyses revealed changes in surface topography for all the tested ceramics and intergrain spaces opening, especially after ST. The effectiveness of the tested chemo-mechanical surface treatments depends on the zirconia type. The hot experimental etching solution increased the surface roughness of all the tested ceramics creating retentive micro-spaces that may potentially improve zirconia/resin cement interfacial strengths. © 2010 Academy of Dental Materials.

One way of possibly improving bond strength is by changing the application mode of self-etch adhesives. The current study evaluated the resin-dentin microtensile bond strength (MTBS) promoted by two- and one-step self-etching adhesives after different bonding application procedures. Flat dentin surfaces from extracted human molars were bonded: 1) according to the manufacturers' instructions, 2) duplicating the number of adhesive coats and 3) doubling the application time of the acidic primers. Two-step (Clearfil SE Bond/SEB and Resulcin AquaPrime/RE) and one-step (Etch & Prime 3.0/EP and One-Up Bond F/OUB) self-etch adhesives were used. Resin-dentin beams were tested in tension at 0.5 mm/minute. Selected debonded beams were observed under scanning electron microscopy (SEM). MTBS data were analyzed by ANOVA and multiple comparison tests (p < 0.05). The highest MTBS was always attained with SEB, regardless of the bonding procedure. RE, EP and OUB showed similar MTBS when bonded as per the manufacturers' instructions. The MTBS of OUB increased after doubling the application time and duplicating the adhesive coats. The two-step self-etch adhesives were insensible to changes in bonding application procedures. Attempts to improve the bonding performance of water/ethanol-based self-etching systems by using different bonding application parameters were system-specific and only effectively detected in one-step adhesive systems.

The chemo-mechanical surface treatment of fiber posts increases their bonding properties. The combined use of atomic force and confocal microscopy allows for the assessment and quantification of the changes on surface roughness that justify this behavior. Quartz fiber posts were conditioned with different chemicals, as well as by sandblasting, and by an industrial silicate/silane coating. We analyzed post surfaces by atomic force microscopy, recording average roughness (Ra) measurements of fibers and resin matrix. A confocal image profiler allowed for the quantitative assessment of the average superficial roughness (Ra). Hydrofluoric acid, potassium permanganate, sodium ethoxide, and sandblasting increased post surface roughness. Modifications of the epoxy resin matrix occurred after the surface pre-treatments. Hydrofluoric acid affected the superficial texture of quartz fibers. Surface-conditioning procedures that selectively react with the epoxy-resin matrix of the fiber post enhance roughness and improve the surface area available for adhesion by creating micro-retentive spaces without affecting the post’s inner structure.

Objective. The aim is to determine if superficial or deep dentine microhardness (MH) is affected by different chemical dentine pre-treatments performed for resin bonding. Methods. Dentine discs of superficial (SD) and deep dentine (DD) were obtained by transversally sectioning the crowns of human third molars. Knoop MH was measured after different treatments: (1) polished up to 4000 grit, (2) polished and etched (37% ortophosphoric acid for 15 s), (3) resin (Single Bond -SB-) infiltrated dentine after acid etching, (4) polished, etched and treated with 5% NaOCl for 2 min, (5) resin infiltrated (SB) after etching and NaOCl treatment. For resin infiltrated surfaces care was taken in order to remove the excess adhesive layer, and obtain infiltrated dentine, by measuring thickness of the sample before resin infiltration and polishing after resin infiltration until obtaining the initial thickness of the sample. Indentations (n = 20) were performed on moist surfaces with a standard Knoop MH tester (20 g, 5 s). Data were expressed in Knoop Hardness Numbers (KHN) and analysed by ANOVA and multiple comparisons (P < 0.05). Results. Dentine KHN decreased on both SD and DD after acid etching. NaOCl treatment after acid etching did not affect MH on SD, but KHN of DD was towered. Resin infiltration increased KHN but did not recover the initial MH values in both SD and DD. Conclusions. Treating dentine with either H3PO4 or NaOCl caused marked reduction of its surface hardness and subsequent resin infiltration was not capable to restore it. (c) 2004 Elsevier Ltd. All rights reserved.

Objectives: To evaluate the effect of different chemo-mechanical surface treatments of zirconia ceramic in the attempt to improve its bonding potential. Methods: Sintered zirconium oxide ceramic discs (Lava™ Ø10 mm × 1 mm height) were treated with (n = 4): (1) airborne particle abrasion with 125 μm Al2O3 particles; (2) 9.5% HF acid etching; (3) selective infiltration etching (SIE); (4) experimental hot etching solution applied for 10, 30 and 60 min; (5) no treatment. Ceramic discs surfaces were analyzed by atomic force microscopy (AFM) recording average surface roughness measurements of the substrate. Data were statistically analyzed by Kruskall-Wallis analysis of variance and Mann-Whitney tests (α = 0.05). The same discs were used for bi-dimensional zirconia ceramic surface characterization with scanning electron microscope (SEM). Results: Ceramic surface treatments significantly influenced surface topography and roughness (p < 0.001). Bi-dimensional changes in ceramic surface morphology were assessed on a nanometric scale. The experimental hot etching solution improved surface roughness, independently from the application time. Conclusion: Zirconia conditioning with the experimental hot etching solution may enhance ceramic roughness and improve the surface area available for adhesion allowing the formation of micromechanical retention. The influence of this surface treatment with regard to bond strength of zirconia needs to be addressed. © 2009 Elsevier Ltd. All rights reserved.