An analysis on the potential of diode-pumped solid-state lasers for dental materials

Effects of CAD/CAM restorative materials and thickness on the depth of cure of various light-cured resin composite materials

The study assessed the depth of cure (DOC) of different resin composites light-cured through different types of CAD/CAM materials of variable thickness. Three CAD/CAM materials (multilayer zirconia, lithium disilicate glass ceramic, composite) of three thicknesses (2-, 3-, and 4-mm) were prepared and their translucency parameter (TP) were measured. A light-curable and a dual-curable resin cement (Variolink Esthetic LC and DC) and a bulk-fill resin composite with a higher Ivocerin concentration (Tetric PowerFill) were used to mimic luting agents. DOC was assessed via Vickers microhardness testing. Increased thickness of CAD/CAM specimen was associated with decreased DOC. The chemical composition of the resin composites affected their curing performance depending on the light curing mode. Tetric PowerFill presented the greater DOC among the other resin composites. Receiver operating characteristic models of curing status appeared to provide better insight in predicting the DOC of luting agent according to TP than linear regression.

Design and Implementation of a Power Semiconductor-Based Switching Mode Laser Diode Driver

Fiber lasers are commonly used in many industrial applications, such as cutting, welding, marking, and additive manufacturing. In a fiber laser system, the driver of a pumping source using a laser diode (LD) module and its dynamic control capability directly affect the performance of the fiber laser system. The commercial design of pumping source drivers for high-power fiber lasers is mainly based on a linear-type DC power supply, which has two major drawbacks, i.e., lower efficiency and bulk. In this regard, this paper proposes for the first time a new design approach with a programmable switching mode laser diode driver using a power semiconductor device (PSD)-based full-bridge phase-shifted (FB-PS) DC-DC converter for driving a 200 W optical power laser diode module. In this paper, the characteristics of a laser diode module and the system configuration of the proposed laser diode driver are first introduced. Then, a current control scheme using the concept of phase angle shifting to achieve a fast dynamic current tracking feature is explained. The proposed current control technique with a fully digital control scheme is then addressed. Next, dynamic mathematical models of the laser diode driver system and controllers are derived, and the quantitative design detail of the controller is presented. To confirm the correctness of the proposed control scheme, a simulation study on a typical control case is performed in PSIM 9.1 software environment. To verify the effectiveness of the proposed LD driver, a digital signal processor is then used as the control core to construct a hardware prototype implementation for performing experimental tests. Results obtained from simulation and hardware tests show highly satisfactory driving performances in the laser diode's output current command tracking control.

Fracture Strength and Failure Modes of Endodontically Treated Premolars Restored with Compact and Hollow Composite Posts Subjected to Cyclic Fatigue

Physical and mechanical properties of continuous carbon or glass fiber reinforced endodontic posts are relevant to increase the retention and resistance of the tooth-restoration system. Hollow posts have been recently designed for delivering the luting cement through the post hole, thus enhancing the post-dentin interface by reducing the risk of air bubbles formation. Methods: Three type of endodontic posts, a carbon fiber hollow post, a glass fiber hollow post and a compact glass fiber post were investigated. Mechanical properties of these posts were assessed through bending tests. Teeth were subjected to fatigue cycling and the strength of restored teeth was detected through static tests. Failure modes were investigated through optical and scanning electron microscopy. Results show that composite posts increase the mechanical stability by more than 100% compared to premolars restored with particulate composite. Carbon fiber posts retain the highest strength (1467 N ± 304 N) among the investigated post and core restoration, but an unfavorable type of fracture has been observed, preventing the tooth re-treatment. Instead, more compliant posts (i.e., glass fiber reinforced composite, providing a strength of 1336 N ± 221 N), show a favorable mode of fracture that allows the re-treatment of teeth in the case that failure occurs. Glass fiber hollow posts show a good trade-off between strength and a favorable type of fracture.

Mechanical evaluation of dental trauma splints fabricated using recentlydeveloped photo-polymerizable composites

This study aimed to determine functionality and mechanical properties of dental splints. Five splints were tested: a control splint Filtek Z350XT (ZF), two splints with G-Fix (GF) and Light Fix (LF), and two wire-composite splints with ZF (ZW) and Ortho Connect Flow (CW). Periotest values, elastic modulus, flexural, compressive, and diametral tensile strength were measured. ZW and CW showed no significant differences in flexibility in labial or occlusal pressure of upper central incisors. LF, GF, and ZF did not differ in labial or palatal pressure. ZW and CW had higher flexibility than LF, GF, and ZF. LF had the lowest flexural and compressive strength but the highest diametral tensile strength. This study showed that ZW and CW might be options for flexible splints, whereas LF and GF would be options for rigid splints. Additionally, CW and LF/GF might be simpler alternatives to ZW and ZF, respectively.

Structural and mechanical analysis of three orthodontic adhesive composites cured with different light units

OBJECTIVE

To evaluate the effects of three different curing units on the physical and mechanical features of three different orthodontic adhesive resin materials.

MATERIAL AND METHODS

45 specimens (5 mm in diameter, and 2 mm in thickness) of each of the three different adhesive composite resin materials (Transbond XT, Grēngloo™ Adhesive and Light Bond Paste) were cured with three different light units (a polywave third generation (Valo), a monowave (DemiUltra), and a second-generation LED (Optima 10)). To quantify degree of conversion (DC), the Attenuated Total Reflectance Fourier Transform Infrared Spectroscopy was used in transmission mode (ALPHA FT-IR Spectrometer, Bruker Optics, Germany). Vickers hardness value was recorded under constant load 100 g for 10 s with a microhardness tester (HMV M-1, Shimadzu Corp., Kyoto, Japan). The data were statistically analyzed using Kruskal-Wallis and chi-square tests. The level of significance was considered p < 0.05.

RESULTS

The highest DC values were obtained as a result of curing with Optima 10. This rate was followed by Demi Ultra and Valo, respectively. Transbond XT samples showed a lower level of conversion than the samples of Light Bond Paste and Grēngloo™ Adhesive. The top surfaces of each material showed higher hardness values than the bottom surfaces (p < 0.05). The Light Bond Paste showed the highest hardness values both on the top and bottom surfaces among the three materials, followed by Grēngloo™ Adhesive. While the hardness values of the top surfaces of the samples cured with Demi Ultra and Valo light units were similar, higher hardness values are recorded with Valo on the bottom surfaces (Valo; 85.200/75.200 (top/bottom) versus Demi Ultra; 86.100/66.000 (top/bottom)).

CONCLUSIONS

The different DC and the surface hardness properties were recorded for the resin as orthodontic adhesives depending on different light units. Shorter radiation time caused lower DC and surface hardness values.

Comparative study of three composite materials in bonding attachments for clear aligners

OBJECTIVE

The aim of this study was to assess the operation time, shear bond strength, placement accuracy and wear resistance of 3 composite materials (Filtek Z350XT, Filtek Z350XT Flowable and SonicFill) that were used to make attachments for clear aligners.

SETTINGS AND SAMPLE POPULATION

Laboratory of Stomatology of Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine. A total of 129 human mandibular premolars were collected, 69 of which were assigned to 3 groups (A1, B1 and C1). The remaining 60 teeth were divided into 3 groups (A2, B2 and C2).

METHODS

Z350XT composite resin was used in groups A1 and A2 to bond the attachments. Z350XT Flowable composite resin was used in groups B1 and B2. SonicFill composite resin was used in groups C1 and C2. The operation time, shear bond strength, the placement accuracy and wear volume loss of 3 composite materials were evaluated.

RESULTS

The operation time of Z350XT Flowable and SonicFill was shorter than Z350XT (P < .05). The shear bond strength of SonicFill was higher than Z350XT and Z350XT Flowable (P < .05). The SEM showed that the bonding interface of Z350XT and SonicFill was compact. The 3D deviation and volumetric change in the 3D designed attachments and the attachments after actual bonding of Z350XT Flowable were greater than that of Z350XT and SonicFill (P < .05). The wear volume loss of SonicFill and Z350XT was less than that of Z350XT Flowable (P < .05).

CONCLUSION

SonicFill seems to represent a suitable material for producing attachments, which optimized the property combination.

Influence of an Alkoxylation Grade of Acrylates on Shrinkage of UV-Curable Compositions

Commercially available UV curable restorative materials are composed of inorganic filler hydroxyapatite, multifunctional methacrylate, photoinitiator and alkoxylated acrylate. Especially, the application of alkoxylated monomers with different alkoxylation grade allows the reduction of polymerization shrinkage which plays the major role by application of low shrinkage composites as high quality restorative dental materials or other adhesive materials in the form of UV-polymerized self-adhesive acrylics layers (films). There are several ways to reduce polymerization shrinkage of restorative compositions, for example, by adjusting different alkoxylated acrylic monomers, which are integral part of investigated UV curable restorative composites. This article is focused on the studies of contraction-stress measured as shrinkage during UV-initiated curing of restorative composites containing various commercially available alkoxylated acrylates. Moreover, studies with experimental restorative materials and recent developments typical for UV curing technology using special photoreactive monomers are described.