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Hassouneh L, Matoug-Elwerfelli M, Al-Omari T, Setzer FC, Nagendrababu V. Assessment of biomechanical behavior of immature non-vital incisors with various treatment modalities by means of three-dimensional quasi-static finite element analysis. Sci Rep 2023; 13:17491. [PMID: 37840093 PMCID: PMC10577137 DOI: 10.1038/s41598-023-44609-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 10/10/2023] [Indexed: 10/17/2023] Open
Abstract
The objectives of this study were to evaluate the stress distribution and risk of fracture of a non-vital immature maxillary central incisor subjected to various clinical procedures using finite element analysis (FEA). A three-dimensional model of an immature central incisor was developed, from which six main models were designed: untreated immature tooth (C), standard apical plug (AP), resin composite (RC), glass-fibre post (GFP), regeneration procedure (RET), and regeneration with induced root maturation (RRM). Mineral trioxide aggregate (MTA) or Biodentine® were used as an apical or coronal plug. All models simulated masticatory forces in a quasi-static approach with an oblique force of 240 Newton at a 120° to the longitudinal tooth axis. The maximum principal stress, maximum shear stress, risk of fracture, and the strengthening percentage were evaluated. The mean maximum principal stress values were highest in model C [90.3 MPa (SD = 4.4)] and lowest in the GFP models treated with either MTA and Biodentine®; 64.1 (SD = 1.7) and 64.0 (SD = 1.6) MPa, respectively. Regarding the shear stress values, the dentine tooth structure in model C [14.4 MPa (SD = 0.8)] and GFP models [15.4 MPa (SD = 1.1)] reported significantly higher maximum shear stress values compared to other tested models (p < 0.001), while no significant differences were reported between the other models (p > 0.05). No significant differences between MTA and Biodentine® regarding maximum principal stress and maximum shear stress values for each tested model (p > 0.05). A maximum strain value of 4.07E-03 and maximum displacement magnitude of 0.128 mm was recorded in model C. In terms of strengthening percentage, the GFP models were associated with the highest increase (22%). The use of a GFP improved the biomechanical performance and resulted in a lower risk of fracture of a non-vital immature maxillary central incisor in a FEA model.
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Affiliation(s)
- Layla Hassouneh
- Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | | | - Taher Al-Omari
- Department of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Frank C Setzer
- Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Venkateshbabu Nagendrababu
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
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Moga RA, Olteanu CD, Botez MD, Buru SM. Assessment of the Orthodontic External Resorption in Periodontal Breakdown-A Finite Elements Analysis (Part I). Healthcare (Basel) 2023; 11:healthcare11101447. [PMID: 37239733 DOI: 10.3390/healthcare11101447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/15/2023] [Accepted: 05/15/2023] [Indexed: 05/28/2023] Open
Abstract
This Finite Elements Analysis (FEA) assessed the accuracy of Tresca failure criteria (maximum shear stress) for the study of external root resorption. Additionally, the tooth absorption-dissipation ability was assessed. Overall, 81 models of the second mandibular premolar, out of a total of 324 simulations, were involved. Five orthodontic movements (intrusion, extrusion, rotation, translation, and tipping) were simulated under 0.6 N and 1.2 N in a horizontal progressive periodontal breakdown simulation of 0-8 mm. In all simulations, Tresca criteria accurately displayed the localized areas of maximum stress prone to external resorption risks, seeming to be adequate for the study of the resorptive process. The localized areas were better displayed in the radicular dentine-cementum component than in the entire tooth structure. The rotation and translation seem prone to a higher risk of external root resorption after 4 mm of loss. The resorptive risks seem to increase along with the progression of periodontal breakdown if the same amount of applied force is guarded. The localized resorption-prone areas follow the progression of bone loss. The two light forces displayed similar extensions of maximum stress areas. The stress displayed in the coronal dentine decreases along with the progression of bone loss. The absorption-dissipation ability of the tooth is about 87.99-97.99% of the stress.
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Affiliation(s)
- Radu Andrei Moga
- Department of Cariology, Endodontics and Oral Pathology, School of Dental Medicine, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Motilor 33, 400001 Cluj-Napoca, Romania
| | - Cristian Doru Olteanu
- Department of Orthodontics, School of Dental Medicine, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Avram Iancu 31, 400083 Cluj-Napoca, Romania
| | - Mircea Daniel Botez
- Department of Structural Mechanics, School of Civil Engineering, Technical University of Cluj-Napoca, Str. Memorandumului 28, 400114 Cluj-Napoca, Romania
| | - Stefan Marius Buru
- Department of Structural Mechanics, School of Civil Engineering, Technical University of Cluj-Napoca, Str. Memorandumului 28, 400114 Cluj-Napoca, Romania
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Moga RA, Olteanu CD, Daniel BM, Buru SM. Finite Elements Analysis of Tooth-A Comparative Analysis of Multiple Failure Criteria. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20054133. [PMID: 36901151 PMCID: PMC10002102 DOI: 10.3390/ijerph20054133] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 02/19/2023] [Accepted: 02/23/2023] [Indexed: 06/01/2023]
Abstract
Herein Finite elements analysis (FEA) study assesses the adequacy and accuracy of five failure criteria (Von Mises (VM), Tresca, maximum principal (S1), minimum principal (S3), and Hydrostatic pressure) for the study of tooth as a structure (made of enamel, dentin, and cement), along with its stress absorption-dissipation ability. Eighty-one 3D models of the second lower premolar (with intact and 1-8 mm reduced periodontium) were subjected to five orthodontic forces (intrusion, extrusion, tipping, rotation, and translation) of 0.5 N (approx. 50 gf) (in a total of 405 FEA simulations). Only the Tresca and VM criteria showed biomechanically correct stress display during the 0-8 mm periodontal breakdown simulation, while the other three showed various unusual biomechanical stress display. All five failure criteria displayed comparable quantitative stress results (with Tresca and VM producing the highest of all), showing the rotational and translational movements to produce the highest amount of stress, while intrusion and extrusion, the lowest. The tooth structure absorbed and dissipated most of the stress produced by the orthodontic loads (from a total of 0.5 N/50 gf only 0.125 N/12.5 gf reached PDL and 0.01 N/1 gf the pulp and NVB). The Tresca criterion seems to be more accurate than Von Mises for the study of tooth as structure.
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Affiliation(s)
- Radu Andrei Moga
- Department of Cariology, Endodontics and Oral Pathology, School of Dental Medicine, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Motilor 33, 400001 Cluj-Napoca, Romania
| | - Cristian Doru Olteanu
- Department of Orthodontics, School of Dental Medicine, University of Medicine and Pharmacy Iuliu Hatieganu, Str. Avram Iancu 31, 400083 Cluj-Napoca, Romania
| | - Botez Mircea Daniel
- Department of Structural Mechanics, School of Civil Engineering, Technical University of Cluj-Napoca, Str. Memorandumului 28, 400114 Cluj-Napoca, Romania
| | - Stefan Marius Buru
- Department of Structural Mechanics, School of Civil Engineering, Technical University of Cluj-Napoca, Str. Memorandumului 28, 400114 Cluj-Napoca, Romania
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Alania Y, Trevelin LT, Hussain M, Zamperini CA, Mustafa G, Bedran-Russo AK. On the bulk biomechanical behavior of densely cross-linked dentin matrix: The role of induced-glycation, regional dentin sites and chemical inhibitor. J Mech Behav Biomed Mater 2020; 103:103589. [PMID: 32090918 PMCID: PMC7042333 DOI: 10.1016/j.jmbbm.2019.103589] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 10/17/2019] [Accepted: 12/07/2019] [Indexed: 10/25/2022]
Abstract
Collagen glycation takes place under physiological conditions during chronological aging, leading to the formation of advanced glycation end-products (AGEs). AGEs accumulation induces non-enzymatic collagen cross-links increasing tissue stiffness and impairing function. Here, we focused on determining the cumulative effect of induced glycation on the mechanical behavior of highly collagen cross-linked dentin matrices and assess the topical inhibition potential of aminoguanidine. Bulk mechanical characterization suggests that early glycation cross-links significantly increase the tensile strength and stiffness of the dentin matrix and promote a brittle failure response. Histologically, glycation yielded a more mature type I collagen in a densely packed collagen matrix. The time-dependent effect of glycation indicates cumulative damage of dentin matrices that is partially inhibited by aminoguanidine. The regional dentin sites were differently affected by induced-glycation, revealing the crown dentin to be mechanically more affected by the glycation protocol. These findings in human dentin set the foundation for the proposed in vitro ribose-induced glycation model, which produces an early matrix stiffening mechanism by reducing tissue viscoelasticity and can be partially inhibited by topical aminoguanidine.
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Affiliation(s)
- Yvette Alania
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA
| | - Livia T Trevelin
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA; Department of Restorative Dentistry, School of Dentistry, University of São Caetano Do Sul, Rua Santo Antônio 50, São Caetano Do Sul, São Paulo, 09521-160, Brazil
| | - Mohammad Hussain
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA
| | - Camila A Zamperini
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA
| | - Gresa Mustafa
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA
| | - Ana K Bedran-Russo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina St, Chicago, IL, 60612, USA.
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Kominami N, Shimada Y, Hosaka K, Luong MN, Yoshiyama M, Sadr A, Sumi Y, Tagami J. The effect of flowable composite lining and dentin location on microtensile bond strength and internal fracture formation. Dent Mater J 2019; 38:798-805. [PMID: 31341147 DOI: 10.4012/dmj.2018-232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The objective of this study was to determine the effect of flowable composite lining and dentin location on internal dentin fracture formation in the microtensile bond strength (MTBS) test using swept-source optical coherence tomography (SS-OCT). MTBS test beams (1.0×1.0 mm) were prepared from human superficial and deep dentin, which was bonded with a self-etch adhesive (Clearfil SE Bond) and hybrid composite resin (Clearfil AP-X), with or without flowable lining (Clearfil Majesty ES-Flow). We tested 4 groups according to placement technique (with vs. without flowable liner) and dentin (superficial vs. deep) locations. Cross-sectional 2D images of the bonded interface were obtained before and after the MTBS test. Internal dentin fracture after MTBT was observed as a bright zone in SS-OCT. Flowable lining significantly reduced internal fracture formation in dentin (p<0.05). Dentin location significantly influenced MTBS (p<0.05), and this was reduced by flowable lining usage.
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Affiliation(s)
- Nao Kominami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Yasushi Shimada
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
| | - Keiichi Hosaka
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Minh Nguyet Luong
- Department of Restorative Dentistry and Endodontics, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City.,Biomimetics Biomaterials Biophotonics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
| | - Alireza Sadr
- Biomimetics Biomaterials Biophotonics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Yasunori Sumi
- National Center for Geriatrics and Gerontology, Department of Advanced Dental Research, Center of Advanced Medicine for Dental and Oral Disease
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Miguez PA, Pereira PNR, Atsawasuwan P, Yamauchi M. Collagen Cross-linking and Ultimate Tensile Strength in Dentin. J Dent Res 2016; 83:807-10. [PMID: 15381724 DOI: 10.1177/154405910408301014] [Citation(s) in RCA: 72] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Several studies have indicated differences in bond strength of dental materials to crown and root dentin. To investigate the potential differences in matrix properties between these locations, we analyzed upper root and crown dentin in human third molars for ultimate tensile strength and collagen biochemistry. In both locations, tensile strength tested perpendicular to the direction of dentinal tubules (undemineralized crown = 140.4 ± 48.6/root = 95.9 ± 26.1; demineralized crown = 16.6 ± 6.3/root = 29.0 ± 12.4) was greater than that tested parallel to the tubular direction (undemineralized crown = 73.1 ± 21.2/root = 63.2 ± 22.6; demineralized crown = 9.0 ± 3.9/root = 16.2 ± 8.0). The demineralized specimens showed significantly greater tensile strength in root than in crown. Although the collagen content was comparable in both locations, two major collagen cross-links, dehydrodihydroxylysinonorleucine/its ketoamine and pyridinoline, were significantly higher in the root (by ~ 30 and ~ 55%, respectively) when compared with those in the crown. These results indicate that the profile of collagen cross-linking varies as a function of anatomical location in dentin and that the difference may partly explain the site-specific tensile strength.
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Affiliation(s)
- P A Miguez
- Dental Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7455, USA
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Ivancik J, Naranjo M, Correa S, Ossa A, Tay FR, Pashley DH, Arola D. Differences in the microstructure and fatigue properties of dentine between residents of North and South America. Arch Oral Biol 2014; 59:1001-12. [PMID: 24960115 DOI: 10.1016/j.archoralbio.2014.05.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2014] [Revised: 05/08/2014] [Accepted: 05/30/2014] [Indexed: 11/25/2022]
Abstract
UNLABELLED Spatial variations in the microstructure of dentine contribute to its mechanical behaviour. OBJECTIVE The objective of this investigation was to compare the microstructure and fatigue behaviour of dentine from donors of two different countries. METHODS Caries-free third molars were obtained from dental practices in Colombia, South America and the US to assemble two age-matched samples. The microstructure of the coronal dentine was evaluated at three characteristic depths (i.e. deep, middle and superficial dentine) using scanning electron microscopy and image processing techniques. The mechanical behaviour of dentine in these three regions was evaluated by the fatigue crack growth resistance. Cyclic crack growth was achieved in-plane with the dentine tubules and the fatigue crack growth behaviour was characterized in terms of the stress intensity threshold and the Paris Law parameters. RESULTS There was no difference in the tubule density between the dentine of patients from the two countries. However, there were significant differences (p≤0.05) in the tubule lumen diameters between the two groups in the deep and peripheral regions. In regards to the fatigue resistance, there was a significant increase (p≤0.05) in threshold stress intensity range, and a significant decrease in fatigue crack growth coefficient with increasing distance from the pulp in teeth from the US donors. In contrast, these properties were independent of location for the dentine of teeth from the Colombian donors. CONCLUSIONS The microstructure of dentine and its mechanical behaviour appear to be a function of patient background, which may include environmental factors and/or ethnicity.
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Affiliation(s)
- J Ivancik
- Department of Mechanical Engineering, University of Maryland Baltimore County, Baltimore, MD, USA
| | - M Naranjo
- Bioengineering Research Group (GIB), Prosthodontic Department, CES University, Medellín, Colombia
| | - S Correa
- Bioengineering Research Group (GIB), Product Design Engineering Department, EAFIT University, Medellín, Colombia
| | - A Ossa
- School of Engineering, EAFIT University, Medellín, Colombia
| | - F R Tay
- Department of Endodontics, School of Dentistry, Georgia Regents University, Augusta, GA, USA
| | - D H Pashley
- Department of Oral Biology, School of Dentistry, Georgia Regents University, Augusta, GA, USA
| | - D Arola
- Department of Materials Science and Engineering, University of Washington, Seattle, WA, USA; Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, WA, USA.
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Chen G, Fan W, Mishra S, El-Atem A, Schuetz M, Xiao Y. Tooth fracture risk analysis based on a new finite element dental structure models using micro-CT data. Comput Biol Med 2012; 42:957-63. [DOI: 10.1016/j.compbiomed.2012.07.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2011] [Accepted: 07/09/2012] [Indexed: 10/28/2022]
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Arola D, Ivancik J, Majd H, Fouad A, Bajaj D, Zhang XY, Eidelman N. Microstructure and mechanical behavior of radicular and coronal dentin. ACTA ACUST UNITED AC 2012. [DOI: 10.1111/j.1601-1546.2012.00267.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ivancik J, Neerchal NK, Romberg E, Arola D. The reduction in fatigue crack growth resistance of dentin with depth. J Dent Res 2011; 90:1031-6. [PMID: 21628640 DOI: 10.1177/0022034511408429] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The fatigue crack growth resistance of dentin was characterized as a function of depth from the dentino-enamel junction. Compact tension (CT) specimens were prepared from the crowns of third molars in the deep, middle, and peripheral dentin. The microstructure was quantified in terms of the average tubule dimensions and density. Fatigue cracks were grown in-plane with the tubules and characterized in terms of the initiation and growth responses. Deep dentin exhibited the lowest resistance to the initiation of fatigue crack growth, as indicated by the stress intensity threshold (ΔK(th) ≈ 0.8 MPa•m(0.5)) and the highest incremental fatigue crack growth rate (over 1000 times that in peripheral dentin). Cracks in deep dentin underwent incremental extension under cyclic stresses that were 40% lower than those required in peripheral dentin. The average fatigue crack growth rates increased significantly with tubule density, indicating the importance of microstructure on the potential for tooth fracture. Molars with deep restorations are more likely to suffer from the cracked-tooth syndrome, because of the lower fatigue crack growth resistance of deep dentin.
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Affiliation(s)
- J Ivancik
- Department of Mechanical Engineering, University of Maryland Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA
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11
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Ryou H, Amin N, Ross A, Eidelman N, Wang DH, Romberg E, Arola D. Contributions of microstructure and chemical composition to the mechanical properties of dentin. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2011; 22:1127-1135. [PMID: 21455677 PMCID: PMC3118654 DOI: 10.1007/s10856-011-4293-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2011] [Accepted: 03/14/2011] [Indexed: 05/30/2023]
Abstract
The influence of microstructural variations and chemical composition to the mechanical properties and apparent flaw sensitivity of dentin were evaluated. Rectangular beams (N = 80) of the deep and superficial coronal dentin were prepared from virgin 3rd molars; twenty beams of each region were nominally flaw free and the remainder possessed a single "surface flaw" via a Vickers indentation. Mechanical properties were estimated in four-point flexure and examined using Weibull statistics. Fourier Transform Infrared Microspectroscopy in Reflectance Mode (FTIR-RM) was used to quantify the relative mineral to collagen ratios. Results showed that the average flexural strength, and strain and energy to fracture of the deep dentin beams were significantly lower (P < 0.005) than for the superficial dentin. While the deep dentin exhibited the highest mineral/collagen ratio and lowest damage tolerance, there was no significant effect of the surface flaws. Weibull analyses suggest that deep dentin possesses a larger distribution of intrinsic flaw sizes that contributes to the location dependence in strength.
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Affiliation(s)
- H Ryou
- Department of Mechanical Engineering, University of Maryland Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA
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Jongsma LA, Ir NDJ, Kleverlaan CJ, Feilzer AJ. Reduced contraction stress formation obtained by a two-step cementation procedure for fiber posts. Dent Mater 2011; 27:670-6. [PMID: 21514652 DOI: 10.1016/j.dental.2011.03.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2010] [Revised: 01/28/2011] [Accepted: 03/28/2011] [Indexed: 11/29/2022]
Abstract
OBJECTIVES In a previous study, a 60% increase in push-out strength was obtained in vitro with a two-step cementation of fiber posts, a procedure equivalent to the layering technique of composite restorations. The aim of this study is to find the rationale for this increase in push-out strength with finite element analysis (FEA). METHODS FEA models were created of the push-out test set-up of fiber posts cemented according to a one-step and two-step procedure and of the complete root with post. The failure loads of glass-fiber posts cemented with RelyX Unicem as obtained in a previous study were used as the load in the push-out FEA models. For the complete root model, a load of 100N was used. The stresses due to the shrinkage of the cement layer and the applied load were determined for the one-step and two-step procedure of the push-out test specimens and for the one-step procedure of the complete root. RESULTS Even though the load in the two-step push-out model was 60% higher compared to the one-step model, the combined stresses were comparable. The stresses due to shrinkage alone in the complete root approached or exceeded the bond strength of resin cements to dentin in the coronal and apical areas. SIGNIFICANCE FEA of this test set-up explains the results of the in vitro study. Two-step cementation of fiber posts leads to a decrease in internal stresses in the restoration which results in higher failure loads and possibly in less microleakage.
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Affiliation(s)
- Leontine A Jongsma
- Department of Dental Materials Science, ACTA, Universiteit van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands.
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Castro CG, Filho PCFS, da Mota AS, Campos RE, Soares CJ. Effect of a bonding resin layer associated with a self-etching adhesive system on the bond strength of indirect restorations. J Appl Oral Sci 2010; 15:94-8. [PMID: 19089109 PMCID: PMC4327237 DOI: 10.1590/s1678-77572007000200004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2005] [Accepted: 03/13/2007] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the influence of a low-viscosity bonding resin applied over a self-etching adhesive system on the microtensile bond strength (μTBS) of indirect restorations. Comparisons were made using One Up Bond F (OB) self-etching adhesive system, Single Bond (SB) one-bottle adhesive system and Scotchbond Multi Purpose Plus (SMP) bonding component. Thirty bovine incisors were extracted and decoronated at the cementoenamel junction. The labial surfaces were ground so that superficial dentin and deep dentin were exposed. The specimens were randomized to three groups (n=10): G1- OB; G2- OB + SMP; G3- SB. In G2, a layer of the SMP bonding was applied over the OB adhesive system. Indirect composite restorations were bonded using dual-cure cement under 500 g load for 5 min. The specimens were serially sectioned with a bonding area of ± 1.0 mm2 in 3 regions: enamel (E), superficial dentin (SD) and deep dentin (DD). The sticks were fixed with cyanoacrylate adhesive and submitted to μTBS test at a crosshead speed of 0.5 mm/min in a mechanical testing machine (EMIC DL 2000). The fractured specimens were examined under scanning electron microscopy to determine the failure mode. Data were analyzed by one-way ANOVA followed by Tukey's test (p<0.05). μTBS means (in MPa) were: G1/E: 15.5 ± 3.5b; G1/SD: 22.7 ± 7.6a; G1/DD: 19.4 ± 9.4a; G2/E: 15.9 ± 5.8b; G2/SD: 19.9 ± 6.9a; G2/DD: 15.3 ± 4.9a; G3/E: 23.2 ± 7.3a; G3/SD: 20.4 ± 8.2a; G3/DD: 19.1 ± 8.7a. The results showed that the use of a low viscosity bonding resin did not affect the μTBS means when associated with a self-etching adhesive system. The self-etching adhesive system was significantly more efficient in dentin than in enamel, while the one-bottle system was significantly more efficient in enamel when compared to the self-etching adhesive system.
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14
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Soares CJ, Castro CG, Neiva NA, Soares PV, Santos-Filho PCF, Naves LZ, Pereira PNR. Effect of gamma irradiation on ultimate tensile strength of enamel and dentin. J Dent Res 2009; 89:159-64. [PMID: 20042736 DOI: 10.1177/0022034509351251] [Citation(s) in RCA: 71] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The effect of gamma irradiation therapy on the ultimate tensile strength (UTS) of enamel and dentin in relation to prism orientation, dentin tubule orientation, and location is unknown. It was hypothesized that tubule and prism orientation, location, and irradiation have an effect on the UTS of dental structures. Forty human third molars were used, half of which were subjected to 60 Gy of gamma irradiation, in daily increments of 2 Gy. The specimens were evaluated by microtensile testing. Results showed that irradiation treatment significantly decreased the UTS of coronal and radicular dentin and of enamel, regardless of tubule or prism orientation. With or without irradiation, enamel was significantly stronger when tested parallel to its prismatic orientation. Coronal and radicular dentin of non-irradiated specimens presented significantly higher UTS when tested perpendicularly to tubule orientation. However, when the teeth were irradiated, the influence of tubule orientation disappeared, demonstrating that irradiation is more harmful to organic components.
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Affiliation(s)
- C J Soares
- Federal University of Uberlândia, Dept. of Operative Dentistry and Dental Materials, Brazil.
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Dejak B, Mlotkowski A, Romanowicz M. Strength estimation of different designs of ceramic inlays and onlays in molars based on the Tsai-Wu failure criterion. J Prosthet Dent 2007; 98:89-100. [PMID: 17692590 DOI: 10.1016/s0022-3913(07)60042-0] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
STATEMENT OF PROBLEM Successful restoration of large molar defects is a serious clinical problem. Studies on the strength of teeth restored with ceramic restorations of various designs have provided conflicting results. PURPOSE The purpose of this study was to determine the shapes of large MOD ceramic restorations in molars most likely to prevent failure and to produce a favorable distribution of contact stresses between the cement and teeth during mastication. MATERIAL AND METHODS The study was performed using a finite element analysis with contact elements. Eight 2-dimensional models of mandibular first molars with the following designs of MOD ceramic restorations were created: an inlay with a butt joint margin, an inlay with a beveled margin, an onlay with a butt joint margin, and an onlay with a rounded shoulder margin. The restorations had 3-mm or 5-mm isthmus widths. Models of opposing maxillary crowns were also developed. Computational simulation of mastication of boluses in the frontal plane was conducted, during which the stresses occurring in the ceramic restorations, cement, and tooth structure were calculated. The Tsai-Wu failure criterion was used to evaluate the strength of the materials. Contact stresses at the adhesive interface between the tooth structure and resin cement around these restorations were analyzed. RESULTS According to the Tsai-Wu failure criterion, the margin of the beveled inlay and the surrounding tissue could be damaged during masticatory simulation. At the junction of the butt joint margin inlay and enamel, contact tensile stresses appeared. The lowest inverse of the Tsai-Wu strength ratio index appeared in the onlay with a rounded shoulder margin. At the adhesive interfaces around margins of large onlays, compressive contact stresses occurred. CONCLUSIONS For the large molar MOD ceramic restorations tested, the lowest values of the inverse of the Tsai-Wu strength ratio index and a favorable distribution of contact stresses between restoration and tissues appeared in the onlay with a rounded shoulder margin.
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Affiliation(s)
- Beata Dejak
- Department of Prosthetic Dentistry, Medical University, Lodz, Poland.
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Maghaireh G, Bouschlicher MR, Qian F, Armstrong SR. The Effect of Energy Application Sequence on the Microtensile Bond Strength of Different C-factor Cavity Preparations. Oper Dent 2007; 32:124-32. [PMID: 17427820 DOI: 10.2341/06-30] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Light curing of resin composites in high C-factor cavity preparations using a high irradiance energy application sequence may lead to decreased bond strength. However, the high irradiance energy application sequence did not result in lower bond strengths in lower C-factor cavity preparations.
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Affiliation(s)
- G Maghaireh
- Department of Restorative Dentistry, Faculty of Dentistry, Jordan University of Science & Technology, Irbid 22110, Jordan
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17
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Hosoya Y, Kawada E, Ushigome T, Oda Y, Garcia-Godoy F. Micro-tensile bond strength of sound and caries-affected primary tooth dentin measured with original designed jig. J Biomed Mater Res B Appl Biomater 2006; 77:241-8. [PMID: 16211573 DOI: 10.1002/jbm.b.30433] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
To measure the micro-tensile bond strength (MTBS) on sound and caries-affected primary tooth dentin using an original designed jig that was developed for making symmetric and uniformly-sized specimens for the micro-tensile strength testing. The MTBS of dumbbell-shaped specimens and matchstick-shaped specimens were measured. Dumbbell-shaped specimens: The occlusal surfaces of 15 sound primary molars were ground with a water-cooled air turbine using a diamond bur. The adhesive systems and resin-based composites were Clearfil SE Bond and Clearfil AP-X (SE group) and Single Bond and Z250 (SB group). Matchstick-shaped specimens: Sixteen primary molars (5 sound and 11 carious) were used. The occlusal surfaces of sound teeth were ground with a water-cooled air turbine using a diamond bur. Infected dentin was determined by a caries detecting dye solution and removed with a round-shaped steel bur under water-cooling and with a hand instrument. SE was applied. Data was statistically analyzed using ANOVA and Fisher's PLSD at p < 0.05. The MTBSs (MPa) for the dumbbell-shaped specimens were 8.9 +/- 7.0 in the SE group and 10.3 +/- 5.8 in the SB group and that for the matchstick-shaped specimens were 9.0 +/- 6.3 in the sound-SE group and 9.2 +/- 5.8 in the carious-SE group. No significant difference was observed among them.
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Affiliation(s)
- Yumiko Hosoya
- Division of Pediatric Dentistry, Course of Medical and Dental Sciences, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
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18
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De Jager N, de Kler M, van der Zel JM. The influence of different core material on the FEA-determined stress distribution in dental crowns. Dent Mater 2006; 22:234-42. [PMID: 16099031 DOI: 10.1016/j.dental.2005.04.034] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2005] [Accepted: 04/13/2005] [Indexed: 11/27/2022]
Abstract
OBJECTIVES All ceramic restorations without metal have great advantages in their biocompatibility and aesthetic aspects. With the introduction of new core materials, the cores are sufficiently strong to produce long lasting all-ceramic restorations; however, the stresses in the veneering porcelain could still determine the longevity. The objective of this study was to evaluate, by finite element analysis (FEA), the influence of different core materials on the stress distribution in dental crowns. METHODS The model of a multi-layer all-ceramic crown for posterior tooth 46 produced with CAD-CAM-technology was translated into a three-dimensional FEA program. This crown model was made with gold, zirconia, and alumina-based porcelain core and their matching veneering porcelains. The stress distribution due to the combined influences of bite forces, residual stresses caused by the difference in expansion coefficient of the core material and the veneering porcelain, and the influence of shrinkage of the cement was investigated. RESULTS Stiffer core material does not always for various reasons result in lower stresses in the veneering porcelain. SIGNIFICANCE This study indicates that the actual distribution of the tensile stresses and the design of restorations must be taken into account; otherwise, the significant contribution of stronger and tougher core materials to the performance of all-ceramic restorations may be offset by the weaker veneering porcelain.
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Affiliation(s)
- Niek De Jager
- Department of Dental Material Science, Academisch Centrum Tandheelkunde Amsterdam, Universiteit van Amsterdam and Vrije Universiteit, Louwesweg 1, Amsterdam, 1066 EA, The Netherlands.
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Cho E, Chikawa H, Kishikawa R, Inai N, Otsuki M, Foxton RM, Tagami J. Influence of Elasticity on Gap Formation in a Lining Technique with Flowable Composite. Dent Mater J 2006; 25:538-44. [PMID: 17076325 DOI: 10.4012/dmj.25.538] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to investigate the effect of flowable composites as liners for direct composite restorations, with key focus on the elastic moduli of flowable and condensable composites. After treating the composite mold cavity surface with an adhesive system, one of the flowable composites was placed as a 1 mm-thick layer on the cavity floor and irradiated for 20 seconds. The rest of cavity was subsequently filled with a condensable composite and irradiated for 40 seconds. Gap formation at both interfaces--between the cavity floor and flowable composite, and between the flowable and condensable composites--was examined. No gaps were detected at the interface between the cavity floor and flowable composite. Gap percentage at the interface between the flowable and condensable composites was dependent on the difference in elastic modulus. It was concluded that flowable composite with high elastic modulus could inhibit gap formation between flowable and condensable composites.
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Affiliation(s)
- Eitetsu Cho
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School, Tokyo Medical and Dental University, Japan.
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Dejak B, Mlotkowski A, Romanowicz M. Finite element analysis of mechanism of cervical lesion formation in simulated molars during mastication and parafunction. J Prosthet Dent 2005; 94:520-9. [PMID: 16316798 DOI: 10.1016/j.prosdent.2005.10.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
STATEMENT OF PROBLEM The mechanical theory of cervical lesion formation is popular; however, the mechanism of formation of these lesions is not fully explained. PURPOSE The aim of this study was calculation of the stresses and Tsai-Wu strength ratio in the cervical area of the mandibular molar during grinding, clenching, and mastication, as well as theoretical investigation of the mechanism of cervical lesion formation in teeth. MATERIAL AND METHODS A 2-dimensional finite element model of the mandibular first molar and crown of the opposing maxillary molar in the frontal section was developed. Computational simulation of mastication of a bolus with high elastic modulus, including grinding and clenching, was performed. Pairs of contact elements were used between the bolus and occlusal surfaces of the teeth. The analysis was nonlinear. During these simulations, the pressure exerted on the occlusal surface and the state of stresses in the mandibular molar were calculated. To evaluate the strength of anisotropic tooth tissues, the Tsai-Wu failure criterion was applied. This criterion considers the difference in strength of materials due to tensile, compressive, and shear stresses. RESULTS Significant pressures were exerted on lingual cusps of the mandibular molar model during computer simulations of physiological and pathological load. In enamel elements close to the buccal cemento-enamel junction (CEJ) of the studied tooth, tensile stresses were observed which exceeded the strength of the enamel. In this area, the Tsai-Wu strength ratio reached values higher than 1. According to the Tsai-Wu criterion, these elements were damaged and, thus, were removed from the computer tooth model. During subsequent modeling of the tooth with the initiated cervical lesion, the Tsai-Wu ratio exceeded 1 along the dentino-enamel junction (DEJ), creating an overhang of enamel in the cervical area. Application of minimal horizontal force caused a fracture of this fragile, unsupported enamel fragment. CONCLUSIONS Overloading of theoretical teeth by computer simulation resulted in enamel damage at the CEJ and led to initiation of a cervical lesion. Subsequent overloading resulted in enamel destruction along the DEJ. The overhanging enamel fragment may easily be chipped. This process was repeated during subsequent tooth overloading and caused enlarging of the lesion.
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Sathorn C, Palamara JEA, Palamara D, Messer HH. Effect of Root Canal Size and External Root Surface Morphology on Fracture Susceptibility and Pattern: A Finite Element Analysis. J Endod 2005; 31:288-92. [PMID: 15793386 DOI: 10.1097/01.don.0000140579.17573.f7] [Citation(s) in RCA: 99] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The aim of the study was to determine the extent to which canal size, radius of curvature and proximal root concavity influence fracture susceptibility and pattern. A standardized cross-section of the mid-root region of a mandibular incisor was created by averaging the dimensions of 10 extracted teeth, and then the basic finite element analysis (FEA) model was created. By varying canal diameter, shape, and proximal concavity, these factors could be examined for roles in fracture susceptibility and pattern. The factors all interact in influencing fracture susceptibility and pattern, with dentin thickness not the only determining factor. The removal of dentin does not always result in an increased fracture susceptibility.
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De Jager N, Pallav P, Feilzer AJ. The influence of design parameters on the FEA-determined stress distribution in CAD–CAM produced all-ceramic dental crowns. Dent Mater 2005; 21:242-51. [PMID: 15705431 DOI: 10.1016/j.dental.2004.03.013] [Citation(s) in RCA: 123] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2003] [Revised: 02/26/2004] [Accepted: 03/25/2004] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Knowledge of factors, which influence stress and its distribution is of key importance to the successful production of durable all-ceramic restorations. The objective of this study was to evaluate, by finite element analysis (FEA), the influence of the shape of the preparation and the cement layer on the stress distribution in CAD-CAM produced all-ceramic crowns and in their cement layer. MATERIAL AND METHODS The CAD models of multi-layer all-ceramic crowns for posterior tooth 46 of three patients produced with CAD-CAM-technology were translated into a three-dimensional FEA program. The stress distribution due to the combined influences of bite forces, residual stresses caused by the difference in expansion coefficient of the two ceramic layers, and the influence of shrinkage of the cement was investigated. RESULTS The tensile stresses in the crown for the chamfer knife-edge preparation might put the integrity of the currently available ceramic materials at risk, while a non-uniform cement layer might result in stresses exceeding the bond strength. It was concluded that for long lasting restorations in the posterior region it is advisable to make a chamfer with collar preparation, the cement layer as uniform, and the difference in thermal expansion for the two ceramics as small as possible. SIGNIFICANCE This study indicates that for full ceramic crowns in the posterior region, specific design rules should be followed, and that FEA utilizing CAD-CAM data can be a successful tool to develop design guidelines for all-ceramic restorations.
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Affiliation(s)
- Niek De Jager
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), universiteit van Amsterdam, Louwesweg 1, 1066 EA, Amsterdam, The Netherlands.
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Hosoya Y, Marshall GW. The nano-hardness and elastic modulus of sound deciduous canine dentin and young premolar dentin--preliminary study. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2005; 16:1-8. [PMID: 15754137 DOI: 10.1007/s10856-005-6439-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2004] [Accepted: 07/20/2004] [Indexed: 05/24/2023]
Abstract
The purpose of this study was to compare the nano-hardness and elastic modulus among deciduous and permanent dentin, buccal and lingual sides, incisal, center and cervical areas, and outer, middle and inner layers. Three premolars and three deciduous canines were bucco lingually (BL) sectioned, and three deciduous canines were mesio-distally (MD) sectioned parallel to the long axis at the center of the tooth. Hardness (H), plastic hardness (PH) and Young's modulus (Y) were measured using a nano-indentation tester. The H, PH and Y values from the deciduous canine dentin were significantly lower than those from the premolar dentin at most sites. For deciduous canine dentin, the H and PH values of the MD sectioned dentin were significantly higher than those of the BL sectioned dentin in many layers of many areas. Generally deciduous canine dentin had H, PH and Y values that decreased from outer toward the inner layers and significant differences were obtained among the layers in many areas. For MD sectioned deciduous canine and BD sectioned premolar dentin, the H, PH and Y values of the cervical area were significantly lower than those of the incisal and center areas in many layers. It is possible that optimum bonding may require different treatments for deciduous and permanent dentin and perhaps also for different intratooth locations.
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Affiliation(s)
- Y Hosoya
- Division of Pediatric Dentistry, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan.
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