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More translucent dental zirconias have been developed by incorporating the cubic phase and reducing the tetragonal phase content that undergoes transformation toughening, leading to reduced mechanical properties. Whether the clinically relevant mechanical property of the edge chipping toughness of the material is also reduced is unclear.The purpose of this in vitro study was to evaluate the edge chipping toughness and translucency of translucent zirconia, 3mol% yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP), and lithium disilicate.Two translucent zirconia products, Katana and Lava Esthetic; one 3Y-TZP, Lava Plus; and one lithium disilicate, IPS e.max Press were prepared and tested for phase composition via X-ray diffraction (XRD) (n=3), translucency via a spectrophotometer (n=20), and edge chipping via a universal testing machine with a custom-machined specimen holder and diamond indenter (n=20). The 3Y-TZP and lithium disilicate served as the optimal control materials for edge chipping and translucency, respectively. Translucency was compared with 1-way ANOVA and edge toughness with ANCOVA (α=.05).The XRD showed the 3Y-TZP to be almost completely tetragonal phase compared with the 2 translucent zirconia products that were predominantly cubic. Katana UTML and IPS e.max Press had a statistically similar (P.05) translucency that was significantly (P.05) greater than that of Lava Esthetic and Lava Plus. The edge toughness of Katana UTML was 304 N/mm, IPS e.max Press was 354 N/mm, Lava Esthetic was 394 N/mm, and Lava Plus was 717 N/mm, with significance rankings of Katana UTMIPS e.max Press=Lava EstheticLava Plus.Some translucent zirconias had translucency similar to that of lithium disilicate; however, as translucency increased with increased cubic content, edge toughness decreased.

Objectives To evaluate the cytotoxicity effects of two different solder materials used for orthodontic appliances on human periodontal ligament fibroblast (HPLF) cells, and to determine whether the mechanism of toxicity may involve oxidative stress and apoptosis. Materials and Methods The silver solder samples (Leone and Summit) were soldered to orthodontic stainless steel bands and exposed to HPLF cells via cell culture inserts for 48 hours. Cytotoxicity effect of the soldered materials on HPLF cells was measured via tetrazolium salt 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) colorimetric assay (n = 10/sample) and morphological observation. In addition, the mechanism of cytotoxicity of the most toxic silver solder was investigated using both a caspase inhibitor Z-VAL-Ala-Asp-flu-oromethylketone (ZVAD-fmk) and the free radical scavenger Trolox (n = 8/sample). Statistical analysis was performed using one-way analysis of variance with a Bonferroni test. P < .05 was considered statistically significant. Results Compared to the control (no treatment, cells only), both silver solders were cytotoxic (P < .001). The bands alone were significantly cytotoxic compared to the control. There was a significant difference in cytotoxicity between the stainless steel bands alone and the Summit silver solder (P < .001), but not the Leone silver solder. The Summit silver solder was more cytotoxic than the Leone silver solder (P < .05). MTT results were supported by the microscopic morphological changes of the HPLF cells. Neither ZVAD-fmk nor Trolox provided significant protection. Conclusions The two silver solder materials demonstrated different levels of cytotoxicity, and neither oxidative stress nor apoptosis is involved in the mechanism of cytotoxicity.

For decades, dental schools in the United States have endured a significant faculty shortage. Studies have determined that the top 2 sources of dental faculty are advanced education programs and private practice. Those who have completed both DDS and PhD training are considered prime candidates for dental faculty positions. However, there is no national database to track those trainees and no evidence to indicate that they entered academia upon graduation. The objective of this study was to assess outcomes of dental school–affiliated oral sciences PhD program enrollment, graduates, and placement between 1994 and 2016. Using the American Dental Association annual survey of advanced dental education programs not accredited by the Commission on Dental Accreditation and data obtained from 22 oral sciences PhD programs, we assessed student demographics, enrollment, graduation, and placement. Based on the data provided by program directors, the average new enrollment was 33, and graduation was 26 per year. A total of 605 graduated; 39 did not complete; and 168 were still in training. Among those 605 graduates, 211 were faculty in U.S. academic institutions, and 77 were faculty in foreign institutions. Given that vacant budgeted full-time faculty positions averaged 257 per year during this period, graduates from those oral sciences PhD programs who entered academia in the United States would have filled 9 (3.6%) vacant faculty positions per year. Therefore, PhD programs have consistently generated only a small pipeline of dental school faculty. Better mentoring to retain talent in academia is necessary. Stronger support and creative funding plans are essential to sustain the PhD program. Furthermore, the oral sciences PhD program database should be established and maintained by dental professional organizations to allow assessments of training models, trends of enrollment, graduation, and placement outcomes.

OBJECTIVE: Sealants are used in orthodontics to help prevent demineralization during treatment. This study aimed to determine if there is a difference in the shear bond strength (SBS) between 2 different resin sealants bonded to teeth. METHODS: Extracted human premolars (n=20/group) were randomly divided and prepared by acid etching, followed by application of primer or sealant. Group 1, the control group, used Transbond XT Primer (3M Unitek). Groups 2 and 3 were prepared with the sealants L.E.D. Pro Seal (Reliance Orthodontic Products) and Opal Seal (Opal Orthodontics) as the respective primers. Transbond XT Adhesive was applied to a stainless steel bracket and bonded to each tooth. Each group was stored in distilled water at 37°C for 48 hours before. SBS was measured using a universal testing machine, and the adhesive remnant index (ARI) was scored. RESULTS: The SBS (MPa) of the groups was as follows: Group 1 (Transbond): 20.1±6.0; Group 2 (Pro Seal): 16.5±4.8; and Group 3 (Opal Seal): 15.7±3.9. The SBS of Transbond XT Primer was significantly greater than that of Opal Seal (p

Objectives The purpose of this study was to investigate the suitability of the Bend and Free Recovery (BFR) method as a standard test method to determine the transformation temperatures of heat-activated Ni-Ti orthodontic archwires. This was done by determining the transformation temperatures of two brands of heat-activated Ni-Ti orthodontic archwires using the both the BFR method and the standard method of Differential Scanning Calorimetry (DSC). The values obtained from the two methods were compared with each other and to the manufacturer-listed values. Methods Forty heat-activated Ni-Ti archwires from both Rocky Mountain Orthodontics (RMO) and Opal Orthodontics (Opal) were tested using BFR and DSC. Round (0.016 inches) and rectangular (0.019 × 0.025 inches) archwires from each manufacturer were tested. The austenite start temperatures (A s ) and austenite finish temperatures (A f ) were recorded. Results For four of the eight test groups, the BFR method resulted in lower standard deviations than the DSC method, and, overall, the average standard deviation for BFR testing was slightly lower than for DSC testing. Statistically significant differences were seen between the transformation temperatures obtained from the BFR and DSC test methods. However, the A f temperatures obtained from the two methods were remarkably similar with the mean differences ranging from 0.0 to 2.1 °C: A f Opal round (BFR 26.7 °C, DSC 27.6 °C) and rectangular (BFR 27.6 °C, DSC 28.6 °C); A f RMO round (BFR 25.5 °C, DSC 25.5 °C) and rectangular (BFR 28.0 °C, DSC 25.9 °C). Significant differences were observed between the manufacturer-listed transformation temperatures and those obtained with BFR and DSC testing for both manufacturers. Significance The results of this study suggest that the Bend and Free Recovery method is suitable as a standard method to evaluate the transformation temperatures of heat-activated Ni-Ti orthodontic archwires.

Background/purpose Although the effect of experimental surface modifications on various properties (e.g., fatigue, wear) on coated files have been tested in the past, there is no report for the coating quality of commercially available TiN coated files. The aim of this study was to characterize the surface and cross section of TiN coated endodontic files. Materials and methods TiN coated nickel–titanium endodontic files (EasyShape) were surface and cross-sectionally analyzed via scanning electron microscopy backscattered electron imaging and energy-dispersive X-ray spectroscopy analysis in spot, area, and line scan modes. Results Surface imaging revealed parallel oblong regions with higher mean atomic contrast, a finding attributed to increased Ni content. Cross-sectional analysis showed that the coating’s average total thickness was 0.31 μm and consisted of a thin layered film. Energy-dispersive X-ray spectroscopy analysis revealed the presence of Ti, Ni, N, and O in the coating, whereas only Ni and Ti were identified in the bulk of the file. Ti and O showed their peak compositions at the bulk/coating and coating/surface interfaces, respectively, whereas N displayed a rather constant content within the coated region. The N and O contents started increasing inner to the coating/bulk interface, denoting possible diffusion of both elements to the subcoating region. Conclusion Surface and bulk characterization showed no uncoated areas of the files tested. Apart from Ti, Ni, and N, oxygen was also identified within the coating region.

Introduction Mineral trioxide aggregate (MTA) sets via hydration of calcium silicates to yield calcium silicate hydrates and calcium hydroxide (Ca[OH] 2 ). However, a drawback of MTA is its long setting time. Therefore, many additives have been suggested to reduce the setting time. The effect those additives have on setting reaction product formation has been ignored. The objective was to examine the effect additives have on MTA's setting time and setting reaction using differential scanning calorimetry (DSC). Methods MTA powder was prepared with distilled water (control), phosphate buffered saline, 5% calcium chloride (CaCl 2 ), 3% sodium hypochlorite (NaOCl), or lidocaine in a 3:1 mixture and placed in crucibles for DSC evaluation. The setting exothermic reactions were evaluated at 37°C for 8 hours to determine the setting time. Separate samples were stored and evaluated using dynamic DSC scans (37°C→640°C at10°C/min) at 1 day, 1 week, 1 month, and 3 months ( n = 9/group/time). Dynamic DSC quantifies the reaction product formed from the amount of heat required to decompose it. Thermographic peaks were integrated to determine enthalpy, which was analyzed with analysis of variance/Tukey test (α = 0.05). Results Isothermal DSC identified 2 main exothermal peaks occurring at 44 ± 12 and 343 ± 57 minutes for the control. Only the CaCl 2 additive was an accelerant, which was observed by a greater exothermic peak at 101 ± 11 minutes, indicating a decreased setting time. The dynamic DSC scans produced an endothermic peak around 450°C–550°C attributed to Ca(OH)2 decomposition. The use of a few additives (NaOCl and lidocaine) resulted in significantly less Ca(OH) 2 product formation. Conclusions DSC was used to discriminate calcium hydroxide formation in MTA mixed with various additives and showed NaOCl and lidocaine are detrimental to MTA reaction product formation, whereas CaCl 2 accelerated the reaction.

Statement of problem Research evaluating load-to-failure of pressed lithium disilicate glass-ceramic (LDGC) with a clinically validated test after adjustment and repair procedures is scarce. Purpose The purpose of this in vitro study was to investigate the effect of the simulated chairside adjustment of the intaglio surface of monolithic pressed LDGC and procedures intended to repair damage. Material and methods A total of 423 IPS e.max Press (Ivoclar Vivadent AG) disks (15 mm diameter, 1 mm height) were used in the study. The material was tested by using an equibiaxial loading arrangement (n≥30/group) and a contact pressure test (n≥20/group). Specimens were assigned to 1 of 14 groups. One-half was assigned to the equibiaxial load test and the other half underwent contact pressure testing. Testing was performed in 2 parts, before glazing and after glazing. Before-glazing specimens were devested and entered in the test protocol, while after-glazing specimens were devested and glazed before entering the test protocol. Equibiaxial flexure test specimens were placed on a ring-on-ring apparatus and loaded until failure. Contact pressure specimens were cemented to epoxy resin blocks with a resin cement and loaded with a 50-mm diameter hemisphere until failure. Tests were performed on a universal testing machine with a crosshead speed of 0.5 mm/min. Weibull statistics and likelihood ratio contour plots determined intergroup differences (95% confidence bounds). Results Before glazing, the equibiaxial flexural strength test and the Weibull and likelihood ratio contour plots demonstrated a significantly higher failure strength for 1EC (188 MPa) than that of the damaged and/or repaired groups. Glazing following diamond-adjustment (1EGG) was the most beneficial post-damage procedure (176 MPa). Regarding the contact pressure test, the Weibull and likelihood ratio contour plots revealed no significant difference between the 1PC (98 MPa) and 1PGG (98 MPa) groups. Diamond-adjustment, without glazing (1EG and 1PG), resulted in the next-to-lowest equibiaxial flexure strength and the lowest contact pressure. After glazing, the strength of all the groups, when subjected to glazing following devesting, increased in comparison with corresponding groups in the before-glazing part of the study. Conclusions A glazing treatment improved the mechanical properties of diamond-adjusted IPS e.max Press disks when evaluated by equibiaxial flexure and contact pressure tests.

The thermal characteristics of four conventional glass-ionomer cement (GIC) dental restorative products as well as five resin-modified glass-ionomer (RMGI) materials over 1-year of storage were investigated. All materials were prepared following manufacturer’s recommendations and placed into 40 μL aluminum differential scanning calorimeter (DSC) crucibles. Samples (n = 5) were stored at 37 °C and 98 ± 2 % humidity until their appointed time of evaluation at which they were first subjected to specific heat analysis using DSC over 20–60 °C that was immediately followed by a 37–600 °C thermal scan at 10 °C min−1. Samples were evaluated immediately after preparation, at 24 h, 1 week, 1 month, as well as at 3, 6, 9, and 12 months. Mean thermal results were compared with analysis of variance and Scheffe post-hoc testing (p = 0.05). All materials absorbed water during storage. Conventional GIC materials demonstrated increased polyalkenoate polymer maturity over the 12-month storage. The paste–paste RMGI materials, absorbed more water during storage and had increased specific heat values compared to powder–liquid RMGI materials. Of the RMGI materials investigated, only two materials demonstrated evidence of a continuing polyalkenoate matrix maturity that was within the limitations of the technology used, indicating the resin component in some newer formulations of RMGI restorative materials may severely limit the polyalkenoate reaction.

Objective The objective of this research was to study the polymerization shrinkage in a dental composite using 3D digital image correlation (DIC). Methods Using 2 coupled cameras, digital images were taken of bar-shaped composite (Premise Universal Composite; Kerr) specimens before light curing and after for 10 min. Three-dimensional DIC was used to assess in-plane and out-of-plane deformations associated with polymerization shrinkage. Results The results show the polymerization shrinkage to be highly variable with the peak values occurring 0.6–0.8 mm away from the surface. Volumetric shrinkage began to significantly decrease at 3.2 mm from the specimen surface and reached a minimum at 4 mm within the composite. Approximately 25–30% of the strain registered at 5 min occurred after light-activation. Application of 3D DIC dental applications can be performed without the need for assumptions on the deformation field. Significance Understanding the local deformations and strain fields from the initial polymerization shrinkage can lead to a better understanding of the composite material and interaction with surrounding tooth structure, aiding in their further development and clinical prognosis.

Thomas J. T., Roberts H. W., Diaz L., Bradley T. G., Berzins D. W. Effect of light-cure initiation time on polymerization efficiency and orthodontic bond strength with a resin-modified glass-ionomer Orthod Craniofac Res 2012; 15: 124–134. © 2012 John Wiley & Sons A/S Structured Abstract Objectives – The polymerization and acid–base reactions in resin-modified glass-ionomers (RMGI) are thought to compete with and inhibit one another. To examine the effect of visible light-cure (VLC) delay on the polymerization efficiency and orthodontic bond strength of a dual-cured RMGI. Setting and Sample Population – The Orthodontics Graduate Program at Marquette University. An in vitro study utilizing 72 freshly extracted human bicuspid teeth. Materials and Methods – A RMGI light-cured immediately, 2.5, 5, or 10 min after mixing comprised the experimental groups. Isothermal and dynamic temperature scan differential scanning calorimetry (DSC) analysis of the RMGI was performed to determine extents of VLC polymerization and acid–base reaction exotherms. Human premolars (n = 18/group) were bonded with the RMGI. Shear bond strength and adhesive remnant index (ARI) scores were determined. Results – Differential scanning calorimetry results showed the 10-min-delay RMGI group experienced significantly (p 0.05) were noted among the groups for mean shear bond strength. A chi-square test showed no significant difference (p = 0.428) in ARI scores between groups. Conclusions – Delay in light-curing may reduce polymerization efficiency and alter the structure of the RMGI, but orthodontic shear bond strength does not appear to be compromised.

Purpose: An entirely new subclass of casting alloy composition whereby palladium (∼approximately 25 wt%) is added to traditional base metal alloys such as CoCr and NiCr was recently introduced to the market. The purpose of this study was to evaluate the elemental release of new CoPdCr and NiPdCr alloys and compare them to traditional CoCr and NiCr alloys. Materials and Methods: Five casting alloys were investigated: CoPdCr-A (NobleCrown NF, The Argen Corporation), CoPdCr-I (Callisto CP+, Ivoclar Vivadent), NiPdCr (NobleCrown, Argen), CoCr (Argeloy N.P. Special, Argen), and NiCr (Argeloy N.P. Star, Argen). Rectangular specimens (n = 6/alloy) were prepared and immersed in a lactic acid/NaCl solution at 37°C for 7 days according to ISO 10271. Solutions were analyzed with ICP-AES to determine elemental release. The concentrations of major ions (cobalt, nickel, palladium, chromium, and molybdenum) were compared using a generalized linear model (p < 0.05). Representative specimens were examined with optical microscopy before and after immersion. Results: The CoPdCr alloys released a significantly greater amount of respective ions (Co, Cr, Mo, and total ions) compared to the traditional CoCr alloy. No significant differences in elemental release were noted between NiPdCr and NiCr. Optical microscopic examination showed abundant areas of corrosion in the palladium-containing CoCr alloys after immersion, whereas little difference was observed for the other alloys. Conclusions: Corrosion resistance measured via elemental release was compromised when CoCr was alloyed with palladium, but this effect was not observed with NiCr.

Chedella SCV, Berzins DW. A differential scanning calorimetry study of the setting reaction of MTA. International Endodontic Journal, 43, 509–518, 2010. Abstract Aim To evaluate the setting of mineral trioxide aggregate (MTA) at various time intervals using differential scanning calorimetry (DSC). Methodology Hydrated MTA and Portland cement were examined with DSC at the following intervals: immediate (0 h), 2 h, 4 h, 12 h, 24 h, 1 week, 1 month, 3 months and 1 year. DSC analysis consisted of a temperature scan from 37 to 640 °C, resulting in thermograms with reaction product decomposition endotherms. The thermogram peak attributed to calcium hydroxide product formation was identified and quantified to serve as an indicator of reaction product formation over time. Unmixed powders of both cements and individual components of MTA were also studied using DSC. The results were analysed with repeated measures anova between time intervals and a t-test between cements. Results A low temperature endotherm attributed to various calcium silicate hydrates showed continual maturation of MTA up to 1 year. The rate of calcium hydroxide formation was greatest between 4 and 24 h after mixing with maximum amounts present at 7 days. Specimens aged greater than 1 month showed a decrease in calcium hydroxide content, presumably because of carbonation reactions. Portland cement had similar thermogram peaks, although the amount of calcium hydroxide formed was generally smaller compared to MTA. The endothermic peaks from the various powders and components were helpful in corroborating the peaks formed in the hydrated cements. Conclusions Hydration reactions and structure maturation in MTA continue well beyond clinically observed setting times.

Statement of the Problem: The polymerization of bulk-placed resin-modified glass-ionomer (RMGI) restoratives is compromised when penetration of the curing light is limited because of the materials' thickness. It is unknown if additional post light-curing resin polymerization and/or glass-ionomer setting occurs over time to ensure adequate polymerization. Purpose: The primary objective was to evaluate the depth of cure of various thicknesses of RMGI restorative products over 1 year using Knoop hardness (KH) testing. Materials and Methods: The materials were placed in Delrin molds having an internal diameter of 5.0 mm and heights of 2, 3, 4, and 5 mm and were photopolymerized with a halogen light-curing unit. Five specimens of each depth were prepared for each time period evaluated. Specimens were stored in darkness at 37 ± 2°C and 98 ± 2% humidity until being tested at 24 hours, 1 week, and 1, 3, 6, 9, and 12 months after fabrication. Mean KH values were calculated for the bottom and top surfaces of each thickness group and used to determine bottom/top hardness ratios. Data were compared using two-way analysis of variance (factors of time, thickness) at a 0.05 significance level with Scheffe's post hoc analysis, where required. Results: The materials had relatively stable top surface KH, which permitted valid assessment of changes in bottom surface KH over time. The bottom surface KH of some RMGIs changed significantly over time (p

The purpose of this investigation was to study the effect of stress and phase transformation on the corrosion properties of a superelastic nickel-titanium orthodontic wire.The phase transformation profiles of superelastic nickel-titanium (Sentalloy, GAC International, Bohemia, NY) and beta-titanium (TMA, Ormco, Orange, Calif) archwires were analyzed by using differential scanning calorimetry. The force/deflection behavior of the wires at 37 degrees C was measured in a 3-point bending test per modified American Dental Association specification no. 32. Electrochemical testing consisted of monitoring the open circuit potential (OCP) for 2 hours followed by polarization resistance and cyclic polarization tests on archwire segments engaged in a 5-bracket simulation apparatus with bend deflections of 0.75, 1.5, or 3 mm in artificial saliva at 37 degrees C. Nondeflected segments were also tested. Sentalloy was additionally examined for bending and corrosion at 5 degrees C, where it exists as martensite and is devoid of stress-induced phase transformation. OCP at 2 hours and corrosion current density (i(corr)) were analyzed by using ANOVA and Tukey tests (alpha = .05) (n = 10 per deflection).Significant differences (P0.05) in OCP with deflection were found for the TMA and the Sentalloy wires at 5 degrees C, but not for Sentalloy at 37 degrees C. Significant differences (P0.05) in i(corr) with deflection were also observed. All 3 wire groups had their lowest mean i(corr) values when not deflected. The i(corr) for superelastic Sentalloy (37 degrees C) peaked at 0.75 mm deflection before the wire's stress-induced phase transformation point and then decreased with further deflection and transformation. The i(corr) values for TMA and Sentalloy at 5 degrees C, both of which do not undergo phase transformation with deformation, continuously increased from 0 to 1.5 mm deflection before decreasing at the 3.0-mm deflection.Stress increased the corrosion rate in nickel-titanium and beta-titanium orthodontic wires. Alterations in stress/strain associated with phase transformation in superelastic nickel-titanium might alter the corrosion rate in ways different from wires not undergoing phase transformation.

Statement of problem Acrylic resins are prone to microbial adherence, especially by Candida albicans . Surface-charged resins alter the ionic interaction between the denture resin and Candida hyphae, and these resins are being developed as a means to reduce microbial colonization on the denture surface. Purpose The purpose of this study was to investigate the physical and mechanical properties of phosphate-containing polymethyl methacrylate resins for their suitability as a denture material. Material and methods Using PMMA with cross-linker (Lucitone 199) as a control, 4 experimental groups containing various levels of phosphate with and without cross-linker were generated. The properties examined were impact strength, fracture toughness, wettability (contact angle), and resin bonding ability to denture teeth. Impact strength was tested in the Izod configuration (n=16), and fracture toughness (n=13) was measured using the single-edge notched bend test. Wettability was determined by calculating the contact angle of water on the material surface (n=12), while ISO 1567 was used for bonding ability (n=12). The data were analyzed by 1- and 2-way ANOVA (α=.05). Results A trend of increased hydrophilicity, as indicated by lower contact angle, was observed with increased concentrations of phosphate. With regard to the other properties, no significant differences were found when compared with the control acrylic resin. Conclusions No adverse physical effect due to the addition of a phosphate-containing monomer was found in the acrylic denture resins. Additional mechanical and physical properties, biocompatibility, and clinical efficacy studies are needed to confirm the in vivo anti- Candida activity of these novel resins. (J Prosthet Dent 2008;100:302-308)

Objective: To determine whether an amorphous calcium phosphate (ACP)-containing adhesive has an acceptable level of shear bond strength to be used as an orthodontic adhesive. Materials and Methods: Sixty extracted premolars were randomly divided into three groups for orthodontic bonding. Group 1 used a composite resin adhesive (Transbond XT), group 2 was bonded with an ACP-containing adhesive (Aegis Ortho), and group 3 used a resin-modified glass ionomer (Fuji Ortho LC). All bonded teeth were stored in distilled water at 37°C for 40 ± 2 hours prior to debonding. Shear bond strength and adhesive remnant index (ARI) were recorded for each specimen. Results: The mean shear bond strengths for the three test groups were: group 1 (15.2 ± 3.6 MPa), group 2 (6.6 ± 1.5 MPa), and group 3 (8.3 ± 2.8 MPa). A one-way analysis of variance showed a significant difference in bond strengths between the groups. A post hoc Tukey test showed group 1 to be significantly (P < .001) greater than groups 2 and 3. A Kruskal-Wallis test and a Mann-Whitney U-test showed groups 1 and 3 exhibited lower ARI scores than group 2, but a majority of specimens in each group had greater than 50% of the cement removed along with the bracket during debonding. Conclusions: The ACP-containing adhesive demonstrated a low, but satisfactory bond strength needed to function as an orthodontic adhesive.

Objective Nickel–titanium orthodontic wires have various temperature-dependent phases. The purpose of this study was to investigate temperature-dependent corrosion characteristics of shape memory, superelastic, and nonsuperelastic orthodontic wires. Methods Four orthodontic wires were investigated: 27 and 40 °C copper Ni–Ti (superelastic and shape memory, respectively), superelastic Ni–Ti, and nonsuperelastic Nitinol Classic. Differential scanning calorimetry (DSC) was used to confirm phase/temperature behavior of the wires. Sectioned halves of as-received archwires were assessed electrochemically in artificial saliva at 5, 24, 37, and 45 °C. Open circuit potential (OCP) was monitored for 2 h followed by polarization resistance and cyclic polarization tests. Results DSC results showed Nitinol was primarily martensitic-stable whereas NiTi, 27 °C CuNiTi, and 40 °C CuNiTi possessed austenite-finish temperatures of approximately 19, 21, and 38 °C. The OCP of the CuNiTi wires was significantly greater than NiTi and Nitinol but no apparent trend in values was apparent with regard to temperature or phases present. Corrosion current density ( i corr ) increased with temperature for all wires, but not all were equally influenced. The two lowest austenite-finish temperature wires (27 °C CuNiTi and NiTi) approximately tripled in i corr from 37 to 45 °C. Greater incidence of pitting was observed in the CuNiTi wires. Significance This study showed the corrosion rate of various nickel–titanium wires increase with temperature and different phases present may influence corrosion rate trends.

This research determined the effect oxidation, as that occurs during porcelain firing, has upon the corrosion parameters of Pd-based ceramic alloys and how it may relate to Pd allergy. The 20 h open circuit potential (OCP), 20 h corrosion rate (Icorr), and anodic polarization (E-i) curves of 11 commercial Pd alloys were measured in a phosphate buffered saline solution. The alloys were divided into the following four groups based upon composition: PdGa(Ag), PdCu, PdAg, and AuPd and tested in both as-cast and oxidized conditions. In both the as-cast and oxidized conditions, the OCP of Ag-containing Pd alloys is significantly lower than non Ag-containing high-Pd alloys. The OCP of all alloys increased after oxidation. With regard to corrosion rate, the Ag-containing alloys showed a decrease in Icorr with oxidation. In contrast, three of the four non Ag-containing high-Pd (>or=74 wt%) alloys exhibited a higher Icorr. A comparison of the anodic polarization curves showed only the alloys containing larger amounts (>or=16 wt%) of Ag displayed a notable difference between as-cast and oxidized states. Oxidation as required during porcelain-fused-to-metal device preparation alters the electrochemical characteristics of the alloys studied. This alteration may be of importance with regard to their potential for Pd allergy.

To compare as-received copper-nickel-titanium (CuNiTi) archwires to those used in patients by means of differential scanning calorimetry (DSC). Also, the thermal or phase properties of 27 degrees C, 35 degrees C, and 40 degrees C CuNiTi archwires were studied to ascertain if their properties match those indicated by the manufacturer.Six wires of 27 degrees C, 35 degrees C, and 40 degrees C CuNiTi were tested as-received, and six each of the 27 degrees C and 35 degrees C wires were examined after use in patients for an average of approximately 9 and 7 weeks, respectively. Segments of archwire were investigated by DSC over the temperature range from -100 degrees C to 150 degrees C at 10 degrees C per minute.There were no significant differences between as-received and clinically used 27 degrees C and 35 degrees C wires for all parameters (heating onset, endset, and enthalpy and cooling onset, endset, and enthalpy), except the 27 degrees C wires exhibited a significant decrease in the heating enthalpy associated with the martensite-to-austenite transition after clinical use. The heating endsets (austenite finish temperatures) of the 27 degrees C and 35 degrees C wires were within 2 degrees C of those claimed by the manufacturer, but the 40 degrees C wires were found to be nearer to 36 degrees C than 40 degrees C.Clinical use of CuNiTi wires resulted in few differences when compared with as-received wires analyzed by DSC. Two temperature varieties of CuNiTi are reasonably within the parameters of those identified by the manufacturer.

Two novel restorative materials, a polymer infiltrated ceramic network (PICN) and a resin nanoceramic (RNC), for computer-assisted design and computer-assisted manufacturing (CAD-CAM) applications have recently become commercially available. Little independent evidence regarding their mechanical properties exists to facilitate material selection.The purpose of this in vitro study was to measure the edge chipping resistance and flexural strength of the PICN and RNC materials and compare them with 2 commonly used feldspathic ceramic (FC) and leucite reinforced glass-ceramic (LRGC) CAD-CAM materials that share the same clinical indications.PICN, RNC, FC, and LRGC material specimens were obtained by sectioning commercially available CAD-CAM blocks. Edge chipping test specimens (n=20/material) were adhesively attached to a resin substrate before testing. Edge chips were produced using a 120-degree, sharp, conical diamond indenter mounted on a universal testing machine and positioned 0.1 to 0.7 mm horizontally from the specimen's edge. The chipping force was plotted against distance to the edge, and the data were fitted to linear and quadratic equations. One-way ANOVA determined intergroup differences (α=.05) in edge chipping toughness. Beam specimens (n=22/material) were tested for determining flexural strength using a 3-point bend test. Weibull statistics determined intergroup differences (α=.05). Flexural modulus and work of fracture were also calculated, and 1-way ANOVA determined intergroup differences (α=.05) RESULTS: Significant (P.05) differences were found among the 4 CAD-CAM materials for the 4 mechanical properties. Specifically, the material rankings were edge chipping toughness: RNCLRGC=FCPICN; flexural strength: RNC=LRGCPICNFC; flexural modulus: RNCPICNLRGCFC; and work of fracture: RNCLRGC=PICNFC.The RNC material demonstrated superior performance for the mechanical properties tested compared with the other 3 materials.

Statement of problem The effect of toothbrushing on extrinsically stained pressable ceramic materials is unknown. Purpose The purpose of this in vitro study was to investigate the effects of toothbrushing on the shade and surface roughness of extrinsically stained, pressable ceramics. Material and methods Two materials, leucite-based (IPS Empress Esthetic [EE]; Ivoclar Vivadent AG) and lithium disilicate-based ceramic (IPS e.max Press [EP]; Ivoclar Vivadent AG), were studied. For each material, 24 disk-shaped specimens, 10 mm (diameter)×3 mm (height) were fabricated. Three different methods (n=8) of applying extrinsic stains were performed on each material: glazed only (G, control group); stained then glazed (SG); and stained and glazed together (T). The specimens were brushed with a multistation brushing machine under a load of 1.96 N at a rate of 90 strokes per minute with a soft and straight toothbrush (Oral-B #35) and a 1:1 toothpaste and distilled water slurry. Shade and roughness were measured at baseline and at 72, 144, 216, and 288 hours, which is equivalent to 3, 6, 9, and 12 years of simulated toothbrushing for 2 minutes twice a day. A repeated measures ANOVA with staining technique as a fixed factor was used to evaluate shade and roughness (α=.05). Results For EE groups, no significant change was found after 12 years of simulated toothbrushing regarding shade and surface roughness, irrespective of staining techniques ( P >.05). However, EP groups demonstrated a significant shade change and an increase in surface roughness after 12 years of simulated toothbrushing. Shade change was found to depend on the method of applying stain. For the EP-SG technique, a significant shade change was observed only at the 9- to 12-year interval ( P =.047). However, the EP-T technique demonstrated a significant difference in shade between baseline and 3 years ( P =.005) and in the 6- to 9-year interval ( P =.005). Surface roughness was only significantly affected at baseline and 3 years for the EP-T group ( P =.005). Conclusions For the shade and surface roughness of the EE groups, no statistically significant difference was found after 12 years of toothbrushing, irrespective of the staining technique. The shade and surface roughness of the EP groups were significantly statistically affected by toothbrushing time; only shade changes were found to depend on technique.

Aim This study evaluated the effects of ceramic veneer thicknesses on the polymerization of two different resin cements. Materials and methods A total of 80 ceramic veneer disks were fabricated by using a pressable ceramic material (e.max Press; Ivoclar Vivadent) from a Low Translucency (LT) ingot (A1 shade). These disks were divided into light-cured (LC; NX3 Nexus LC; Kerr) and dual-cured (DC; NX3 Nexus DC; Kerr) and each group was further divided into four subgroups, based on ceramic disk thickness (0.3, 0.6, 0.9, and 1.2 mm). The values of Vickers microhardness (MH) and degree of conversion (DOC) were obtained for each specimen after a 24-hour storage period. Association between ceramic thickness, resin cement type, and light intensity readings (mW/cm2) with respect to microhardness and degree of conversion was statistically evaluated by using analysis of variance (ANOVA). Results For the DOC values, there was no significant difference observed among the LC resin cement subgroups, except in the 1.2 mm subgroup; only the DOC value (14.0 ± 7.4%) of 1.2 mm DC resin cement had significantly difference from that value (28.9 ± 7.5%) of 1.2 mm LC resin cement (p < 0.05). For the MH values between LC and DC resin cement groups, there was statistically significant difference (p < 0.05); overall, the MH values of LC resin cement groups demonstrated higher values than DC resin cement groups. On the other hands, among the DC resin cement subgroups, the MH values of 1.2 mm DC subgroup was significantly lower than the 0.3 mm and 0.6 mm subgroups (p < 0.05). However, among the LC subgroups, there was no statistically significant difference among them (p > 0.05). Conclusion The degree of conversion and hardness of the resin cement was unaffected with veneering thicknesses between 0.3 and 0.9 mm. However, the DC resin cement group resulted in a significantly lower DOC and MH values for the 1.2 mm subgroup. Clinical Significance While clinically adequate polymerization of LC resin cement can be achieved with a maximum 1.2 mm of porcelain veneer restoration, the increase of curing time or light intensity is clinically needed for DC resin cements at the thickness of more than 0.9 mm. How to cite this article Cho S-H, Lopez A, Berzins DW, Prasad S, Ahn KW. Effect of Different Thicknesses of Pressable Ceramic Veneers on Polymerization of Lightcured and Dual-cured Resin Cements. J Contemp Dent Pract 2015;16(5):347-352.

To investigate polyalkenoate reaction rates in conventional glass-ionomer cement (GIC) and resin-modified glass ionomer (RMGI) restorative materials using infrared spectroscopy.Nine conventional GIC and six RMGI restorative materials were prepared according to manufacturer's directions and placed on a FTIR (Fourier transform infrared spectroscopy) diamond ATR (attenuated total reflectance) surface. FTIR spectra (700 to 1800 cm-1) were obtained each minute for 3 h. VLC specimens were light polymerized after 1 min; at 5 min, all samples were covered with gauze saturated with deionized water. Polyalkenoate reaction was determined by measuring area growth (Å/cm-1) between 1375 and 1500 cm-1. Mean peak areas were determined at 5, 15, 30, 90, and 180 min and compared using ANOVA (p = 0.05) RESULTS: For all RMGI materials, VLC polymerization inhibited the polyalkenoate reaction rate. Compared to conventional GIC, RMGI materials demonstrated less polyalkenoate reaction. Compared to dark curing, RMGI light polymerization significantly inhibited the polyalkenoate reaction rate.The addition of resin components to glass-ionomer products significantly retards and impedes the polyalkenoate reaction. The polyalkenoate reaction rate of RMGI products was significantly lower than that of self-curing GIC restorative materials. Furthermore, light activation of RMGI products further retards the polyalkenoate rate. When clinicians require the therapeutic benefit of a polyalkenoate product, perhaps a conventional GIC restorative product should be the first material of choice.

Purpose: To determine the accuracy of commercially available, handheld light-emitting diode (LED) and halogen-based radiometers using LED and quartz-tungsten-halogen (QTH) curing lights with light guides of various diameters. Methods: The irradiance of an LED curing light (L.E.Demetron 1, SDS/Kerr, Orange, CA, USA) and a QTH curing light (Optilux 501, SDS/Kerr) were measured using multiple units of an LED (Demetron L.E.D. Radiometer, SDS/Kerr) and a halogen radiometer (Demetron 100, SDS/Kerr) and compared with each other and to a laboratory-grade power meter (control). Measurements were made using five light guides with distal light guide diameters of 4, 7, 8, 10, and 12.5 mm. For each light guide, five readings were made with each of three radiometers of each radiometer type. Data were analyzed with two-way analysis of variance/Tukey; α=0.05. Results: In general, both handheld radiometer types exhibited significantly different irradiance readings compared with the control meter. Additionally, readings between radiometer types were found to differ slightly, but were correlated. In general, the LED radiometer provided slightly lower irradiance readings than the halogen radiometer, irrespective of light source. With both types of handheld radiometers, the use of the larger-diameter light guides tended to overestimate the irradiance values as seen in the control, while smaller-diameter light guides tended to underestimate. CLINICAL SIGNIFICANCE The evaluated LED or halogen handheld radiometers may be used interchangeably to determine the irradiance of both LED and QTH visible-light-curing units. Measured differences between the two radiometer types were small and probably not clinically significant. However, the diameter of light guides may affect the accuracy of the radiometers, with larger-diameter light guides overestimating and smaller-diameter guides underestimating the irradiance value measured by the control instrument.

There is currently no protocol for managing endodontic access openings for all-ceramic crowns. A direct restorative material is generally used to repair the access opening, rendering a repaired crown as the definitive restoration. This endodontic procedure, however, may weaken the restoration or initiate microcracks that may propagate, resulting in premature failure of the restoration.The purpose of this in vitro study was to evaluate how an endodontic access opening prepared through an all-ceramic crown altered the structural integrity of the ceramic, and the effect of a repair of this access on the load to failure of an all-ceramic crown.Twenty-four alumina (Procera) and 24 zirconia (Procera) crowns were fabricated and cemented (Rely X Luting Plus Cement) onto duplicate epoxy resin dies. Twelve crowns of each were accessed to simulate root canal treatment therapy. Surface defects of all accessed specimens were evaluated with an environmental scanning electron microscope. The specimens were repaired with a porcelain repair system (standard adhesive resin/composite resin protocol) and were loaded to failure in a universal testing machine. Observations made visually and microscopically noted veneer delamination from the core, core fracture, shear within the veneer porcelain, or a combination thereof. A Kruskal-Wallis test was used to determine if a significant difference (alpha=.05) in load to failure existed between the 4 groups, and a Mann-Whitney test with a Bonferroni correction (P.0125) was used for multiple comparisons. A Weibull analysis was also used to estimate the Weibull modulus and characteristic failure for each group.All specimens exhibited edge chipping around the access openings. Some displayed larger chips within the veneering porcelain, and 4 zirconia crowns showed radial crack formation. There was a significant difference in load to failure among all groups with the exception of the alumina intact and repaired specimens (P=.695). The alumina crowns generally showed fracture of the coping with the veneering porcelain still bonded to the core, whereas the zirconia copings tended not to fracture but experienced veneering porcelain delamination.Endodontic access through all-ceramic crowns resulted in a significant loss of strength in the zirconia specimens but not in the alumina specimens.

Introduction The purpose of this study was to compare the in vitro torsional stress characteristics of Twisted Files (TFs; SybronEndo, Orange, CA) with 2 milled files of a similar cross-section: EndoSequence (Brasseler USA, Savannah, GA) and ProFile Vortex (DENTSPLY Tulsa Dental, Tulsa, OK). Methods File sizes of 25/.06 and 30/.06 from the 3 file types were compared (n = 20/group). Torsional stress resistance was evaluated by measuring the torque in grams per centimeters and the angle of rotation (°) required for instrument separation with the use of a torsiometer instrument. The fractured files were examined using a scanning electron microscope to look at deformation and fracture surface characteristics. The data were analyzed with analysis of variance to determine statistical differences. Results The 3 file types showed a statistically significant difference in both the maximum torsional stress and the angle of rotation before failure. TFs displayed the least amount of torsional stress resistance and the highest angle of rotation. The 30/.06 size files of all 3 types withstood more torsional stress than the size 25/06 files of the same type. Within each file design, there was not a statistically significant difference in angular rotation between the 25/.06 and 30/.06 groups. The scanning electron microscopic analysis of all 3 file types revealed dimpling near the center of rotation on the fractured surface indicative of torsional stress. Conclusions The novel techniques used in manufacturing TFs do not make them more resistant to torsional stress as compared with milled nickel-titanium endodontic files of a similar cross-sectional design.

The overall objective of this research was to monitor the uptake kinetics of lead in an amphibian model and correlate metal content with embryo development. Based upon the concentration of lead found in the water and sediment of a Louisiana swamp adjacent to a Superfund site, a controlled laboratory experiment exploring lead uptake from water and sediment by Xenopus laevis tadpoles was conducted. For 5 weeks, tadpoles were exposed to water and a simulated sediment, kaolin, spiked with 1, 5, or 10 times the concentration of lead found in field water and sediment samples. Additionally, organisms were exposed to the 5 x condition for 3 and 6 weeks. The experimental controls consisted of unexposed tadpoles and ones exposed to lead originating from water or sediment exclusively. At the end of the exposure periods, developmental data, i.e., body weight and developmental stage, were recorded, and the tadpoles were analyzed for whole body lead concentration. Lead extraction was accomplished by dry ashing, and its amount was quantified polarographically. Results showed that lead inhibited the normal development of these amphibians, in a manner that generally was more severe as exposure level increased. The hindrance of tadpole development also coincided with an increase in whole body lead concentration at higher exposures. Temporally, at the 5 x exposure concentration, the mean lead level increased with time, but this difference was not statistically significant (P

Background/Objectives: Because polymer-based materials typically exhibit viscoelastic properties, the objective was to determine if commercially available, aesthetic, fibre-reinforced composite archwires maintain continuous forces without undergoing force decay when deflected continuously. Materials/Methods: Quasi force decay was evaluated by comparing three-point bending profiles of nickel–titanium (NiTi) and fibre-reinforced composite archwires (BioMers) prior to and after 30 days of continuous deflection of either 1 or 2mm. Paired t-tests or non-parametric signed rank tests were used to statistically compare pre- and post-deflection bending forces. A control group consisting of wires not subject to the 30-day constant deflection was tested to check whether the initial testing altered the second three-point bend test. Results: Significant ( P < 0.01) differences in the pre- and post-deflection deactivation force delivery were most evident in the composite 2mm deflection group and all of the NiTi groups. The composite 2mm deflection group failed to deliver consistent forces as the majority of the wires experienced crazing during the 30-day deflection period. The decrease in force delivery in the NiTi groups may be attributed to the small standard deviations. Conclusions: The composite 1mm deflection group demonstrated that fibre-reinforced composite archwires are able to deliver a consistent force after 30 days of deflection. However, the clinical applicability of these fibre-reinforced composite archwires may be limited as they are unable to sustain deflections of 2mm without experiencing crazing and loss of force delivery. Limitations: Clinical efficacy of the aesthetic, fibre-reinforced composite orthodontic archwires remains to be observed.

Statement of problem The inability to control die spacer thickness has been reported. However, little information is available on the congruency between the computer-aided design parameters for die spacer thickness and the actual printout. Purpose The purpose of this study was to evaluate the accuracy and precision of the die spacer thickness achieved by combining computer-aided design and 3-dimensional printing technology. Material and methods An ivorine maxillary central incisor was prepared for a ceramic crown. The prepared tooth was duplicated by using polyvinyl siloxane duplicating silicone, and 80 die-stone models were produced from Type IV dental stone. The dies were randomly divided into 5 groups with assigned die spacer thicknesses of 25 μm, 45 μm, 65 μm, 85 μm, and 105 μm (n=16). The printed resin copings, obtained from a printer (ProJet DP 3000; 3D Systems), were cemented onto their respective die-stone models with self-adhesive resin cement and stored at room temperature until sectioning into halves in a buccolingual direction. The internal gap was measured at 5 defined locations per side of the sectioned die. Images of the printed resin coping/die-stone model internal gap dimensions were obtained with an inverted bright field metallurgical microscope at ×100 magnification. The acquired digital image was calibrated, and measurements were made using image analysis software. Mixed models (α=.05) were used to evaluate accuracy. A false discovery rate at 5% was used to adjust for multiple testing. Coefficient of variation was used to determine the precision for each group and was evaluated statistically with the Wald test (α=.05). Results The accuracy, expressed in terms of the mean differences between the prescribed die spacer thickness and the measured internal gap (standard deviation), was 50 μm (11) for the 25 μm group simulated die spacer thickness, 30 μm (10) for the 45 μm group, 15 μm (14) for the 65 μm group, 3 μm (23) for the 85 μm group, and -10 μm (32) for the 105 μm group. The precision mean of the measurements, expressed as a coefficient of variation, ranged between 14% and 33% for the 5 groups. Conclusions For the accuracy evaluation, statistically significant differences were found for all the groups, except the group of 85 μm. For the precision assessment, the coefficient of variation was above 10% for all groups, showing the printer's inability to reproduce the uniform internal gap within the same group.

The orthodontic profession is constantly seeking to improve and optimize the aesthetics of orthodontic wires since the introduction of aesthetic brackets. Nickel-titanium (NiTi) wires since their introduction to orthodontics (Andreasen and Hilleman, 1971) have been extensively researched in vitro and are used as an initial levelling and aligning archwire because of its properties of springback and superelasticity (Burstone et al. , 1985; Miura et al. , 1986; Leu et al. , 1990; Bishara et al. , 1995; Bradley et al. , 1996; Biermann et al. , 2007; Berzins and Roberts 2010). Aesthetic wires are usually either coated NiTi wires or composite wires of reinforced polymers. Shape memory polymers have wide application in space technology and are being used currently in medicine and industrial applications (Jung and Cho, 2010; Hu et al. , 2012). These wires have enormous potential for clinical application in orthodontics, and polyphenylene, a self-reinforced polymer composite, is close to being introduced to orthodontic practice (Burstone et al. , 2011; Goldberg et al. , 2011). However, these wires are still at the experimental stage. A fibre reinforced polymer is in clinical use (BioMers Products, LLC, Jacksonville, FL, USA) that is manufactured using a pultrusion process with a photo-cured resin (Gopal et al. , 2005); however, these wires may be more likely to crack during bending and have been shown to deliver less consistent forces compared with alloy wires (Chang, 2012). The coated wires, which are currently available, either have an epoxy resin, polytetraflouroethylene (Teflon; Neumann et al. , 2002), or a low reflectivity rhodium coating (Iijima et al. , 2012) applied to the surface. Atomized Teflon particles are used to coat the wire using clean compressed air as a transport medium, which is then further heat treated in a chamber …

Objective. The corrosion of high-Pd dental alloys, depending on their composition, is postulated to be associated with dealloying and electroformation. The aim of this study was to obtain additional information to support these postulations. Methods. The corrosion characteristics of two commercial high-Pd alloys, Naturelle (79Pd–10Cu–2Au–9Ga wt%) and Rx 91 (54Pd–37Ag–9Sn), and their elemental components were evaluated in a phosphated buffer saline (PBS) solution. Indium, a common element in high-Pd alloys, was also included. The corrosion characteristics measured for each material were the 24 h open circuit potential (OCP) and the potentiodynamic anodic polarization curve. Additionally, the surface composition of the two alloys, before and after immersion corrosion in PBS for 2 months, was analyzed by X-ray photo electron spectroscopy (XPS). Results. Of the pure metals, Ga had the most electroactive OCP followed in order by In, Sn, Cu, Ag, Au, and Pd. The anodic polarization data showed all base metals to be unstable in PBS. The electroformation of AgCl was evidenced in the polarization curve of pure Ag. Both electrochemical characteristics of the PdCu-based alloy were very similar to that of pure Pd. The PdAg-based alloy displayed corrosion behavior resembling that of Ag. XPS data showed that the corrosion of the PdCu-based alloy was associated with a decrease in surface content of Cu and Ga but an increase in Pd and Au. The PdAg-based alloy surface during corrosion showed a decrease in Sn, an increase in Ag, and an unaltered Pd content. The behavior of the PdCu-based alloy is attributed to the operation of a galvanic interaction that causes dissolution of base metals and surface enrichment with primarily Pd. Dealloying, Ag-enrichment, and AgCl formation are thought to have contributed to the observed behavior of the PdAg-based alloy. These mechanisms are consistent with data from published ion release studies. Significance. The allergenic potential of any Pd alloy is dependent on its propensity to develop a Pd-rich surface and thus release Pd +2 ions. The present study, though limited, has shown that electrochemical characteristics, namely OCP and polarization curves, can be used to identify such alloys. Further studies are warranted to evaluate the widespread applicability of these characteristics in distinguishing between Pd alloys that are biologically safe and those that are not.

The purpose of this in vitro study was to compare the bond strength of various obturation materials to root canal dentin by using a push-out test design. Twenty-five single-rooted extracted human teeth were used in this study. The crowns were removed, and root canal instrumentation was completed by using Endogel-coated 0.06 EndoSequence rotary files (Brasseler, Savannah, GA) and appropriate irrigation with 5.25% NaOCl and a final rinse with 17% EDTA. After instrumentation, the roots were randomly divided into five single-matched cone obturation groups (n = 5 roots/group), as follows: group 1, gutta percha with Kerr EWT (Kerr Corp, Romulus, MI); group 2, gutta percha with AH Plus (Dentsply, DeTrey, Germany); group 3, Resilon (Pentron Clinical Technologies, Wallingford, CT) and Epiphany (Pentron); group 4, Activ GP (Brasseler) obturation system; and group 5, EndoREZ obturation system (Ultradent, South Jordan, UT). The obturated roots were cut perpendicular to the long access to create 1-mm thick slices from the apical, middle, and coronal thirds. The bond strength was measured for each test slice with a push-out testing machine. Statistical analysis was completed by using a two-way analysis of variance and the post hoc Tukeys test with significance set at p < 0.05. Group 2 showed a significantly (p < 0.05) greater bond strength compared with all other groups. Also, groups 1 and 4 had significantly (p < 0.05) higher bond strengths compared with groups 3 and 5.

Objective . Alloys based on AgMn are being evaluated in our laboratory for their possible use as an alternative to Type III dental alloys. They respond to heat treatment and develop hardness values comparable to that of Type III alloys. The objective of the present research was to evaluate their corrosion characteristics. Methods . The three experimental silver-based alloys of the following composition (at%): (1) 63Ag37Mn, (2) 60Ag35Mn5Au and (3) 60Ag35Mn5Pd, were tested in their peak-hardened condition. Following 0.5 h open-circuit potential (OCP) measurement of each alloy in a phosphated buffer saline (PBS) solution, its current–potential profile was generated by the cyclic voltammetry technique within −1300 and +200 mV (SCE) at 1 mV s −1 . In a separate test, the OCP of each alloy was monitored over a 24 h period. Results . Each of the three alloys showed ennoblement of their OCP over time due to dissolution of Mn and consequent enrichment with Ag (Au or Pd). At 24 h, the two ternary alloys were the most noble followed by the binary alloy. With respect to the cyclic voltammetry, oxidation of Ag was noted during forward scans at around 0 mV. The reverse scan was associated with a reduction current peak between −37 and −128 mV. The values for this peak, which is a measure of Ag oxidation, were highest (11.5 mA cm −2 ) for the binary alloy followed by the Au- (2.9 mA cm −2 ) and Pd-containing (0.04 mA cm −2 ) alloys, respectively. This indicates that, for equivalent concentration, Pd is more effective in reducing Ag corrosion than Au. Significance . Alloys based on the AgMn system are as hard as Type III dental alloys. Information on the corrosion characteristics of the AgMn-based alloys presented here is of value in further development of this alloy system.

In this investigation, polarographic analyses of water, sediment, and animal samples from Devil's Swamp near Baton Rouge, Louisiana, have been conducted. The focus of this work has been on detection of lead and chromium levels. Lead has been found to be relatively uniformly distributed among the various size fractions of the sediment and is present at a mean level of 18.7 µg g-1. In the water the concentration is about 15 µg L-1 of which 75% is bound in suspended particulates and the remainder is dissolved. Preliminary results indicate that more chromium than lead is present in bone and muscle of bullfrogs, and, for each metal, there is a higher concentration in muscle than bone. The mean lead muscle tissue concentration is 550 µg kg-1, which suggests that bioaccumulation of this metal is occurring, assuming that water contact or ingestion are the main routes of exposure. An important aspect of this research has been optimizing polarographic methodology for performing chromium speciation studies. Methods for determining the amounts of hexavalent and trivalent chromium in mixtures containing the two have been developed.

Objective: To study the effect of water storage on the bending properties of fiber-reinforced composite archwires and compare it to nickel-titanium (NiTi), stainless steel (SS), and beta-titanium archwires. Materials and Methods: Align A, B, and C and TorQ A and B composite wires from BioMers Products, 0.014-, 0.016, and 0.018-inch, and 0.019 × 0.025-inch NiTi, 0.016-inch SS, and 0.019 × 0.025-inch beta-titanium archwires were tested (n = 10/type/size/condition). A 20-mm segment was cut from each end of the archwire; one end was then stored in water at 37°C for 30 days, while the other was stored dry. The segments were tested using three-point bending to a maximum deflection of 3.1 mm with force monitored during loading (activation) and unloading (deactivation). Statistical analysis was completed via two-way analysis of variance with wire and condition (dry and water-stored) as factors. Results: In terms of stiffness and force delivery during activation, in general: beta-titanium was > TorQ B > TorQ A > 0.019 × 0.025-inch NiTi and 0.016-inch SS > Align C > 0.018-inch NiTi > Align B > 0.016-inch NiTi > Align A > 0.014-inch NiTi. Water exposure was detrimental to the larger translucent wires (Align B and C, TorQ A and B) because they were more likely to craze during bending, resulting in decreased forces applied at a given deflection. Align A and the alloy wires were not significantly (P > .05) affected by water storage. Overall, the alloy wires possessed more consistent force values compared to the composite wires. Conclusion: Environmental conditions are more likely to affect fiber-reinforced composite archwires compared to alloy wires.

Various alternatives to metal orthodontic archwires have produced varied successes over the years. This study sought to evaluate the bending properties of fiber-reinforced polymeric composite (FRC) archwires compared with similarly sized nickel-titanium (Ni-Ti) archwires.Two different 0.018-inch translucent FRC orthodontic wires (Translucent Archwire I and Translucent Archwire II) were tested against 0.014-, 0.016-, and 0.018-inch nonsuperelastic nickel titanium orthodontic wires. The wires in each group (n = 10) were evaluated with three-point bending using a universal testing machine. Wire segments were deflected at midspan to 3.1 mm at a rate of 2 mm/min. Loading and unloading slope and modulus were calculated, as were force values during activation and deactivation and elastic recovery.It was found that the 0.018-inch Ni-Ti archwire demonstrated the highest force values at different deflection distances followed by Translucent Archwire II, 0.016-inch Ni-Ti, Translucent Archwire I, and finally 0.014-inch Ni-Ti. 0.016-inch Ni-Ti exhibited the highest modulus value, followed by 0.018-inch Ni-Ti, 0.014-inch Ni-Ti, Translucent Archwire II, and finally Translucent Archwire I. During deactivation, the elastic recovery of 0.014-inch Ni-Ti and 0.016-inch Ni-Ti was significantly greater than Translucent Archwire II.The bending properties of BioMer's FRC archwires were found to be comparable to Ni-Ti, as advertised by the manufacturer.

Statement of problem Current demographic information on the number and types of removable partial dentures is lacking in the prosthodontic literature. Purpose This study was designed to investigate patterns of tooth loss in patients receiving removable partial dentures (RPDs) in eastern Wisconsin. Material and Methods Digital images (1502) of casts at 5 dental laboratories in eastern Wisconsin were collected. Any prescription requesting fabrication of a removable partial denture was photographed twice. The first photograph was made immediately upon arrival at the laboratory, while the second photograph was made immediately before being returned to the prescribing dentist for the first time. A calibrated investigator analyzed all the photographs for Kennedy Classification, type of RPD, major connector, and other details. Data were analyzed with descriptive statistics. Fisher's exact test was used to confirm repeatability. Results Kennedy Class I was the most common RPD with a frequency of 38.4%. More than 40% of prescriptions had no design input from the dentist. One in 3 RPDs used acrylic resin or flexible frameworks. One in 5 RPDs had no rests. The horseshoe major connector was the most common maxillary major connector, while the lingual plate was the most common in the mandible. Conclusions RPDs remain a common prosthodontic treatment in this region. Non-metal RPD frameworks are a common treatment type and rarely include rests. These data indicate a changing partially edentulous patient population and a variable commitment to standard levels of prosthodontic care. (J Prosthet Dent 2011;106:48-56)

A new subclass of casting alloy composition involving the addition of palladium (25 wt%) to traditional base metal alloys, thereby raising their classification to that of a noble alloy, has been recently introduced. Little is known about this class of casting alloy, particularly its corrosion properties, which influence its biocompatibility and esthetics.The purpose of this study was to evaluate the corrosion properties of 2 new CoPdCr and one new NiPdCr alloy and compare them to traditional CoCr and NiCr alloys.The casting alloys investigated were: CoPdCr-A (NobleCrown NF), CoPdCr-I (Callisto CP+), NiPdCr (Noble Crown), CoCr (Argeloy N.P. Special), and NiCr (Argeloy N.P. Star). Cylindrical (4.8-mm diameter) as-cast and oxidized specimens were assessed electrochemically in phosphate-buffered saline at 24°C (n=8 and n=6, respectively). The open circuit potential (OCP) was monitored for 20 hours, followed by linear polarization and cyclic polarization tests. A generalized linear mixed model was used to determine whether differences existed between alloys and to examine the effect of oxidation (α=.05). Representative alloy surfaces were scanned and examined with light microscopy.The palladium-containing alloys possessed a significantly greater OCP (P.001); however, their polarization resistance was less and the corrosion current density was significantly greater (P.05) than their traditional CoCr and NiCr alloy counterparts. Additionally, a greater incidence of pitting was observed in the palladium-containing alloys. Some differences were noted within alloys between the as-cast and oxidized conditions, but a major trend was not observed.Overall, the inclusion of palladium in CoCr and NiCr alloys had deleterious effects on electrochemical corrosion properties.

Resin-modified glass ionomers (RMGI) set by at least 2 mechanisms dependent upon reactant diffusion prior to gelation. Each reaction’s kinetics and setting mechanism may rely on and/or compete with the other. In this study, we investigated RMGI setting reaction interactions using differential scanning calorimetry (DSC) by varying light-cure initiation times. A RMGI was analyzed with isothermal and dynamic temperature scan DSC with light-curing occurring immediately, or at 5 or 10 minutes after mixing as well as without light-activation. Results show that as time allowed for the acid-base reaction increased, the light-activation polymerization exotherm decreased. Conversely, analysis of DSC data suggests that earlier light-activation may limit the acid-base reaction and result in a different structured material. During early RMGI development, acid-base and light-polymerization reactions compete with and inhibit one another.

In the oral environment, orthodontic wires will be subject to thermal fluctuations. The purpose of this study was to investigate the effect of thermocycling on nickel-titanium (NiTi) wire phase transformations.Straight segments from single 27 and 35 degrees C copper NiTi (Ormco), Sentalloy (GAC), and Nitinol Heat Activated (3M Unitek) archwires were sectioned into 5mm segments (n=20). A control group consisted of five randomly selected non-thermocycled segments. The remaining segments were thermocycled between 5 and 55 degrees C with five randomly selected segments analyzed with differential scanning calorimetry (DSC; -100--150 degrees C at 10 degrees C/min) after 1000, 5000, and 10,000 cycles. Thermal peaks were evaluated with results analyzed via ANOVA (alpha=0.05).Nitinol HA and Sentalloy did not demonstrate qualitative or quantitative phase transformation behavior differences. Significant differences were observed in some of the copper NiTi transformation temperatures, as well as the heating enthalpy with the 27 degrees C copper NiTi wires (p0.05). Qualitatively, with increased thermocycling the extent of R-phase in the heating peaks decreased in the 35 degrees C copper NiTi, and an austenite to martensite peak shoulder developed during cooling in the 27 degrees C copper NiTi.Repeated temperature fluctuations may contribute to qualitative and quantitative phase transformation changes in some NiTi wires.

Purpose: The success of metal-ceramic systems partially depends on the formation of a stable bond between metal and porcelain. The purpose of this study was to investigate the porcelain/metal interface and the mechanism of interfacial bonding in a gold-infiltrated alloy (Captek). Materials and Methods: Captek specimens with feldspathic porcelain were evaluated by optical microscopy, scanning electron microscopy (SEM), electron probe microanalysis (EPMA), X-ray diffraction (XRD), and the Schwickerath crack initiation test for metal-ceramic bond compatibility. Specimens were processed with or without Capbond, a bonding agent. A traditional metal-ceramic alloy was also analyzed with microscopy for comparative purposes. Results: Optical and scanning electron micrographs of Captek specimens processed with Capbond revealed close adaptation of porcelain to the surface of the metal with sporadic nodules extending from the Captek surface. In contrast, the specimens of Captek without Capbond showed a much flatter porcelain/metal interface. Comparatively, the porcelain/metal interface of the traditional metal-ceramic crown showed greater surface roughness than the Captek specimens. No metal oxides were observed at the porcelain/metal interface of the Captek specimens with XRD. During the Schwickerath test, the Captek specimens permanently deformed, not allowing for crack initiation at the porcelain/metal interface. Conclusions: Microscopy and XRD analysis showed that micromechanical interlocking is the primary mechanism of porcelain adherence to Captek metal. The use of Capbond prior to porcelain application to Captek results in gold nodules on the surface to aid retention. Existing metal-ceramic bond compatibility standardized tests are not sufficient for evaluating Captek, primarily due to the flexibility of the material.

The purpose of this study was to compare galvanic currents generated by different combinations of commonly used brackets and archwires.As-received stainless steel, nickel-titanium, and beta-titanium wires were coupled to stainless steel and titanium brackets in an artificial saliva medium. The galvanic current and amount of charge transferred for each pair were monitored with a zero resistance ammeter for 10 hours.Two-way analysis of variance (ANOVA) showed a significant difference in charge and galvanic currents when factored for type of bracket (P 0.001), but no significant difference between them when factored by type of wire (P 0.05). Specifically, a brazed stainless steel bracket was significantly greater in charge transferred and 10-hour galvanic current than metal injection molded stainless steel and titanium brackets (P 0.001), which were not different from each other (P 0.05).The method of bracket manufacturing might be of equal or more relevance to galvanic corrosion susceptibility than bracket composition.

Purpose: The purpose of this article is to review basic information about the alloys used for fabricating metal-ceramic restorations in dentistry. Their compositions, properties, advantages, and disadvantages are presented and compared. In addition to reviewing traditional noble-metal and base-metal metal-ceramic alloys, titanium and gold composite alloys are also discussed. Materials and Methods: A broad search of the published literature was performed using Medline to identify pertinent current articles on metal-ceramic alloys as well as articles providing a historical background about the development of these alloys. Textbooks, the internet, and manufacturers' literature were also used to supplement this information. Results: The review discusses traditional as well as more recently-developed alloys and technologies used in dentistry for fabricating metal-ceramic restorations. Clear advantages and disadvantages for these alloy types are provided and discussed as well as the role that compositional variations have on the alloys' performance. This information should enable clinicians and technicians to easily identify the important physical properties of each type and their primary clinical indications. Conclusions: A number of alloys and metals are available for metal-ceramic use in dentistry. Each has its advantages and disadvantages, primarily based on its specific composition. Continuing research and development are resulting in the production of new technologies and products, giving clinicians even more choices in designing and fabricating metal-ceramic restorations.

Objective To investigate the effect of two glass-polyalkenoate restorative materials used as root-dentin replacements on the fracture strength of Class II amalgam restorations. Materials and methods Class II slot preparations extending 2 mm apical to the cemento-enamel junction were made in 30 teeth and randomly assigned to three groups. Group 1 (Control): restored entirely with amalgam (Tytin, Sybron Kerr, Orange, CA, USA). Group 2: The root-dentin area was restored with a viscous conventional glass-polyalkenoate restorative material (Fuji IX GP, GC America, Alsip, IL, USA), and the remainder of the preparation restored with amalgam. Group 3: The root-dentin area was restored with a resin-modified glass-polyalkenoate restorative material (Fuji II LC, GC America) and the remainder restored with amalgam. The amalgam restorations were loaded in compression to failure and the data analyzed using one-way ANOVA (α = 0.05). Results No significant differences in fracture strength were found. Conclusion Root-dentin replacement with the tested glass-polyalkenoate materials did not affect the fracture strength of Class II amalgam restorations.

The purpose of this in vitro study was to evaluate the cutting efficiency of 4 orthograde ultrasonic tips and describe a nonstatic cutting model. Forty molars were extracted and decoronated. Each group contained 10 tips. The samples were fixed to a double pan balance that applied a constant vertical force of 40 g to the ultrasonic tips. The ultrasonic handpiece was mounted to a cyclic axial fatigue testing apparatus to generate a 3-mm horizontal movement of the ultrasonic tip during the cutting procedure. Three cutting cycles of 30 seconds were tested for each power setting of 3, 5, and 7. The weight of the samples was measured before and after the 3 cycles. The cutting efficiency was determined by the weight change caused by dentin removal. The Buc-1 ultrasonic tip had a significantly greater cutting efficiency than the other 3 tips at each of the 3 power settings (P < .05).

The use of a dental prosthesis is indispensable for functional and esthetic rehabilitation of edentulous patients. Despite concerns about the decline in the need for prosthodontic services due to delayed edentulism, the actual unmet need for these services will rise steadily in the next two decades.1 Douglass and Watson calculated that the unmet need for prosthodontic services will increase from 488 million hours in 2005 to 560 million hours in 2020.1 It has been estimated that the need for dentures will rise to 37.9 million adults in 2020.2 Synthetic acrylics resins have a long, clinically proven history of use for dentures since they exhibit adequate physical, mechanical, and esthetic properties; however, they are susceptible to microbial adhesion, leading to denture stomatitis, which is the most common infectious disease affecting the palatal mucosa, and is highly prevalent in denture wearers.3,4 Denture stomatitis is a common clinical entity characterized by inflammation of oral tissues and colonization of the intaglio surface of prostheses by pathogenic organisms. It has a multi-factorial etiology reportedly consisting of either an ill-fitting prosthesis causing mechanical irritation or poor hygiene leading to chronic infection. Rarely, allergic response to the resin is also seen. Regardless of the initiating mechanism, denture stomatitis is characterized by the presence of a yeast biofilm on the prosthesis, primarily associated with Candida albicans.5–7 According to a report by Reichart on a group of Germans aged 65 to 74, there was an 18.3% prevalence of denture stomatitis.3 Others have shown prevalence rates near 60% in a denture-wearing institutionalized population.4 The treatment for denture stomatitis is as complex as the disease itself. Traditional treatment modalities include the use of antifungal agents and modification of the prosthesis to receive a temporary soft tissue reliner. Oral antimycotic agents seem helpful, but recurrence is rapid and assured unless the denture tissue surface is modified to eliminate candidal hyphae.8 Using either systemic fluconazole or topical amphotericin antifungal treatments for denture stomatitis, Bissell et al documented a 50% relapse in stomatitis after 12 weeks using both mycologic and clinical criteria independent of the type of therapy used.9 Additionally, compliance with antifungal regimens can be compromised by a patient’s non-perception of need for medication for a relatively painless condition. Therefore, there has been a tendency toward the incorporation of antimicrobial agents into the denture liners or the resin itself and other similar intraoral drug delivery systems.10–15 A previous study showed substantial differences in the protein compositions of the acquired enamel pellicle in comparison to denture pellicle.16 The acquired enamel pellicle contains antimicrobial peptides like histatins along with other constituents such as IgA, amylase, salivary statherins, and mucins. In contrast, the denture pellicle lacks salivary statherins and histatin. The absence of these important salivary defense molecules on the denture base has been attributed to the lack of anionic charge in polymethyl methacrylate (PMMA) polymers.16 Thus, this lack of surface charge may be responsible for the decreased protective function of the acquired pellicle on the denture. Moreover, reduction of candidal adherence has been demonstrated using a novel PMMA made with increasing amounts of methacrylic acid in place of methyl methacrylate monomer during processing. The new polymer is more hydrophilic and showed a significant correlation between the amount of methacrylic acid in the polymer and decrease in adhesion of C. albicans.17 This formed the rationale for the hypothesis that denture base resins with a phosphate-based anionic charge might also inhibit C. albicans adhesion, and should theoretically provide an enhanced biomimetic surface for the salivary cationic antimicrobials, such as the histatins. The protective role of these histatins would be a potentially viable treatment modality for denture stomatitis; however, any new denture base material must meet standards for clinical acceptability. Therefore, the purpose of this study was to evaluate the physical properties of denture resins with different concentrations of phosphate substitutions in the monomer. These resins would be compared against each other and the control resin, Lucitone 199 (Dentsply International Inc., York, PA), for suitability for denture fabrication. ISO 1567 for denture base polymers and ADA specification No. 12 for denture base polymers were followed in setting up the study design. The null hypothesis was that there would be no difference in physical properties of Lucitone 199 and the other experimental resins.

Objective: To assess the effect extended exposure to disinfectant solutions has on the tensile load at failure and glass transition temperature (Tg) of orthodontic elastomeric ligatures. Materials and Methods: Elastomeric ligatures from three manufacturers: Rocky Mountain Orthodontics (RMO, Denver, Colo), American Orthodontics (AO, Sheboygan, Wis), and 3M Unitek (3M, Monrovia, Calif) were exposed to two disinfectant solutions, Vital Defense-D and Cidexplus, for up to 28 days. Unexposed ligatures were also tested. Tensile load at failure was determined by stretching the ligatures using a universal testing machine until they fractured. Glass transition temperature was determined using differential scanning calorimetry (DSC). Results: For tensile load at failure and glass transition temperature of the ligatures, significant differences were observed among the different manufacturers and exposure times. Type of disinfectant solution was a significant factor with Tg, but not with failure load. The 3M ligatures had the highest tensile load at failure and most positive Tg followed by AO and RMO, respectively. Compared to unexposed ligatures, strength significantly decreased after one hour of disinfectant exposure. Glass transition temperature was also significantly affected with extended disinfectant exposure, but the different disinfectants changed Tg in opposite directions. Conclusion: Exposure of elastomeric ligatures to disinfectant solution for one hour or more decreases their strength.