Effect of dentine conditioners on the bonding efficacy of one-bottle adhesives

The bonding efficacy of four one-bottle adhesives (OptiBond Solo Plus, Gluma Comfort Bond, One Step and Prime & Bond NT) and a multi-step adhesive (Clearfil Photo Bond) as a control was evaluated. The dentine cavity wall was conditioned with phosphoric acid or ethylenediaminetetraacetic acid (EDTA) and the marginal integrity was estimated by measuring the wall-to-wall contraction gap width between the composite and the dentine cavity surface. In the positive control group, the adhesive was applied following glyceryl methacrylate (GM) priming. The analyses were performed by Kruskal-Wallis and Mann-Whitney U-tests. One-bottle adhesives were clearly inferior to the multi-step bonding system in marginal integrity when dentine was conditioned with EDTA. The present findings also suggested that the marginal sealing ability of ethanol-based one-bottle systems was better than acetone-based one-bottle systems when dentine surfaces were conditioned with EDTA. Nevertheless, further investigations are needed on the function of fillers in one-bottle adhesives for the prevention of contraction gaps.

Bonding efficacy and side effects of the high purity glyceryl mono-methacrylate

The purpose of this study was to examine the efficacy of experimentally developed high purity glyceryl mono-methacrylate (GM) as a dentine primer and to evaluate the possibility of allergic reaction. The efficacy of experimental dentine primers was evaluated by measuring the polymerization contraction gap width and the tensile bond strength. Allergic reaction was evaluated by the guinea-pig maximization test. The skin reaction was evaluated according to the criteria of the International Contact Dermatitis Research Group. Contraction gap formation was completely prevented and the tensile bond strength was not significantly affected by priming with GM on high-purity GM. The allergic response decreased when high-purity GM was employed as the challenger. It was concluded that the clinical use of the high-purity GM is beneficial as the delayed allergic reaction could be avoided with no detrimental effect on the dentine bonding.

First case of a single heterozygote of an abnormal hemoglobin, Hb Stanmore, [beta111(G13)Val-->Ala]

We describe a hemoglobin beta-chain mutant detected incidentally in an unusual profile of glycated hemoglobin (HbA1c) measured by ion-exchange HPLC. Analysis of intact globin by electrospray ionization mass spectrometry (ESI-MS) and peptide analysis by on-line HPLC-ESI-MS-MS revealed the substitution, [beta111(G13)Val-->Ala], which was confirmed by DNA analysis. This was the second case of Hb Stanmore. As the first case combined beta(0)-thalassemia, and the family study in that case showed no case of Hb Stanmore without combined thalassemia, the case presented here is the first case of single heterozygote, and the first Japanese case. Hb Stanmore is isoelectrophoretically silent with only mild clinical symptoms, although stability by isopropanol test was positive.

Efficacy of dentin bonding to cervical defects

The bonding efficacy of sclerotic dentin was determined by measuring the polymerization contraction gap width of a commercial light-activated resin composite in a cervical defect and by measuring the micro-Vicker's hardness at the dentin adhesive surface; morphological characteristics were observed using a scanning electron microscope in extracted human incisors and premolars. Contraction gap formation was completely prevented when the cavity wall was primed with 35 vol% glyceryl mono-methacrylate solution after 0.5 mol/L EDTA conditioning. The contraction gap width was significantly decreased when the resin composite was filled into the sclerotic dentin cavity even when priming was omitted. These results suggest that the sclerotic dentin, which is frequently observed in cervical defects, should be preserved as a substrate because it exhibits an effect of dentin priming and is suitable for bonding.

Depth of cure and marginal adaptation to dentin of xenon lamp polymerized resin composites

Marginal adaptation of four resin composites (Clearfil APX, Estelite, Silux Plus and Z-100) cured with two xenon lamp units (Plasma Arc Curing System or Apollo 95E) or a halogen lamp unit (Witelite) were evaluated by measuring the wall-to-wall contraction gap width. A cylindrical dentin cavity (ø3 mm x 1.5 mm) prepared in an extracted human molar was treated with the Megabond system or an experimental bonding system consisting of 0.5 M EDTA, 35% GM and Clearfil Photo Bond prior to composite filling and was irradiated for three seconds (xenon lamp) or 40 seconds (halogen lamp). The contraction gap was measured with a light microscope. In addition, the curing capability of these three light sources was evaluated by measuring the curing depth of the composites filled in a split Teflon mold (ø4 mm x 8 mm). There was no marginal gap formation for Clearfil APX, Estelite and Silux Plus treated with the experimental bonding system regardless of the type of light sources. The curing depth of the xenon lamp was significantly higher than the halogen lamp, while marginal adaptation did not suffer any significant deterioration.

Effects of soft-start irradiation on the depth of cure and marginal adaptation to dentin

Marginal adaptation of four resin composites, Clearfil APX, Estelite, Silux Plus and Z-100 cured with two irradiation methods (soft-start or high-power start) of a commercial soft-start halogen lamp unit (Elipar Highlight) were evaluated by measurement of the wall-to-wall contraction gap width. One-hundred and sixty cylindrical cavities, 3 mm in diameter and 1.5 mm in depth, were prepared in extracted human molars. The 80 cavity walls were treated with the Megabond system and each 20 cavities were filled with one of four resin composites. Then, each 10 fillings were irradiated by the soft-start method (soft-power light for 10 seconds followed by high-power light for 30 seconds) or high-power light for 40 seconds. The other 80 cavity walls were treated with an experimental bonding system consisting of 0.5M EDTA as a conditioner, 35% glyceryl mono-methacrylate as a primer and Clearfil Photo Bond as a bonding agent. The cavities were restored wtih the four resin composites and two irradiation methods, the same as the Megabond group. The contraction gap was measured with a light microscope and expressed in % of the cavity diameter. In addition, the curing capability of these two light sources was evaluated by measurement of the curing depth of the four resin composites using a split Teflon mold 4 mm in inner-diameter and 8 mm in height. Marginal gap formation of Clearfil APX, Estelite and Silux Plus with the experimental bonding system was completely prevented regardless of the kind of irradiation methods used. The deterioration of marginal adaptation caused by the Megabond system could not be improved by use of the soft-start method programmed in Elipar Highlight.

Adverse effect of dentine bonding agent on the oral mucosa of guinea pigs

The purpose of present study was to determine the possibility of nebulous discoloration of the oral mucosa of guinea pigs as a result of the application of dentine bonding agents. The materials used were the Clearfil Photo Bond (CPB) system's mixture agent, universal agent and catalyst agent. Four types of experimental catalysts were used. In male albino guinea pigs weighing 300-500 g, oral mucosa irritation tests were performed in accordance with the guidelines of the Cosmetic, Toiletry and Fragrance Association (CTFA). Macroscopical findings on the oral mucosa showed that there was strong nebulous discoloration immediately after application of CPB mix and CPB catalyst and throughout the experimental periods. However, CPB without 10-methacryloxdecyl dihydrogen phosphate (MDP) did not produce noticeable nebulous discoloration and inflammation. The CPB mix caused pathological changes, such as paraketosis and hyperkeratosis on the endepidermis of the mucosa, immediately after its application.

Novel ring transformation of 5-(2,3,5-tri-O-benzoyl-beta-D-ribofuranosyl)-isoxazole-4-carbaldehyde with 1,2-diaminobenzenes to 3-cyano-1,5-benzodiazepine C-nucleosides

Syntheses of 3-cyano-7- and 8-substituted-4-(beta-D-ribofuranosyl)-1H-1,5-benzodiazepines were reported. Treatment of isoxazole carbaldehyde with 1,2-diamino-4-nitrobenzene in chloroform gave a Schiffs base, 4-(2-amino-5-nitrophenyl)iminomethyl-5-(2,3,5-tri-O-benzoyl-beta-D-ribofuranosyl)isoxazole in 82% yield with no trace of the other regioisomer. The cyclocondensation of the resulting Schiffs base in benzene containing trifluoroacetic acid (TFA) gave 3-cyano-8-nitro-4-(2,3,5-tri-O-benzoyl-beta-D-ribofuranosyl)-1H-1,5-benzodiazepine in 49% yield. The same reaction of isoxazole carbaldeyde with 1,2-diamino-4-methoxy- and 4-chlorobenzenes afforded the corresponding Schiffs bases. Extending the reaction time for Schiffs base gave the corresponding cyanobenzodiazepines in good yields. Debenzoylation of the compounds with sodium methoxide produced deprotected C-nucleosides.

Detection of bisphenol-A in dental materials by gas chromatography-mass spectrometry

The xenoestrogenic substance bisphenol-A is widely used as a synthetic precursor of resin monomers, such as bisphenol-A diglycidyl methacrylate. Reports describing the release of bisphenol-A from polymerized resin into saliva have aroused considerable concern regarding exposure to xenoestrogen by dental treatment. The purpose of the present study was to demonstrate a reliable methodology of detecting the trace amounts of bisphenol-A in dental materials. Bisphenol-A was separable from bisphenol-A diglycidyl methacrylate, which is often employed as the principal dimethacrylate monomer, by selective extraction with a Sep-Pak C18 cartridge. Using this extraction method in combination with a gas-chromatography mass-spectrometry, we have obtained evidence that all unpolymerized materials used in this study were contaminated with bisphenol-A. Quantitative analysis using a deuterium-labeled compound as an internal standard revealed bisphenol-A contents in commercial dental materials ranging from < 1 microgram/g material to about 20 micrograms/g material. The polymerized dental materials released up to 91.4 ng bisphenol-A/g material into phosphate buffered saline during 24-h incubation. These results indicate that bisphenol-A can be released from dental materials, however the leachable amount would be less than 1/1000 of the reported dose (2 micrograms/kg body weight/day) required for xenoestrogenisity in vivo.

Effect of mechanical properties of resin composites on the efficacy of the dentin bonding system

This study determined the relationship between marginal adaptation to dentin cavity preparations, tensile bond strength of the restorations, and mechanical properties of the composites. Contraction gaps, tensile bond strengths, flexural strengths, and Young's modulus of eight commercial resin composites were determined. Eight resin composites (Clearfil AP-X, Estelite, Estio LC, Litefil II-A, Prodigy, Progress, Silux Plus, and Z-100) were applied to dentin cavities or flat dentin surfaces mediated with an experimental dentin bonding system consisting of 0.5 M EDTA dentin conditioner, priming with 35% glyceryl mono-methacrylate solution, and a commercial dentin bonding agent application (Clearfil Photo Bond). The contraction gap of the resin composite in a cylindrical dentin cavity was prevented completely for three of the resin composites tested (Clearfil AP-X, Estelite, and Silux Plus). The measured tensile bond strength correlated significantly not only with the tensile strength (r2 = 0.506; 0.01 < P < 0.05), but also with the flexural strength (r2 = 0.871; P < 0.001) and Young's modulus (r2 = 0.712; 0.001 < P < 0.01) of the composites, whereas the contraction gap did not correlate significantly with the measured tensile bond strength, the tensile strength, the flexural strength, or Young's modulus (P > 0.05). However, the results did indicate that the higher tensile bond strengths measured in the traditional test may be related to the higher mechanical properties of the resin composites because of the number of specimens that exhibited cohesive failure.

Effect of cavosurface angle on dentin cavity adaptation of resin composites

The effect of the cavosurface angle of dentin cavities prepared in extracted human molars on the cavity adaptation of a resin composite was evaluated by measuring the gap width between the resin composite and the dentin cavity wall. Cavities with cavosurface angles of 90 degrees, 120 degrees, 135 degrees, or 150 degrees were pretreated with one of two commercial dentin bonding systems or an experimental dentin bonding system. The contraction gap width was measured at both the cavity margin and the section cavity using a light microscope. Complete cavity adaptation was obtained with pretreatment of the experimental groups regardless of the cavosurface angle. The contraction gap observed at the cavity margin was prevented with the two commercial dentin bonding systems when the cavosurface angle was increased to 150 degrees. A high correlation was observed between the contraction gap width and the proportion of the free surface to the adhesive surface of the resin composite restoration.

A study on the adsorption structure of an adhesive monomer for precious metals by surface-enhanced Raman scattering spectroscopy

In order to clarify the role of a primer on the adhesion between dental precious metals and resin, surface-enhanced Raman scattering (SERS) technique has been applied to the structural analysis of the adhesive monomer, 6-(N-(4-vinylbenzyl)propylamino)-1,3,5-triazine-2, 4-dithione (VBATDT) adsorbed on colloidal Au surfaces. VBATDT is one of the major components of commercial primers. A mixture of a methanol solution of VBATDT and aqueous Au colloid was illuminated by the 647.1 nm line from a Kr ion laser to obtain the SERS. The most intense peak at 458 cm-1 due to C = S stretching in the Raman spectrum of solid VBATDT disappears completely in the SERS, while all the other peaks due to vinylbenzyl group vibrations remain unchanged. It suggests that some structural change occurs in VBATDT upon adsorption on Au which involves the C = S bonds and that the molecule undergoes thione-thiol-type tautomerization in the adsorption process. The SERS spectrum of a commercial primer containing VBATDT exhibits a similar spectral pattern. The present results lead us to conclude that some specific interactions exist between the sulfur atoms of VBATDT and Au surface to form chemical bond likes, which are effective to improve the bond strength between dental precious metals and resin. The ambivalent properties of the primer, chemical stability in storage and chemical affinity to Au, are also explained by the thione-thiol-type tautomerization of VBATDT on the basis of the spectroscopic evidence.

Effect of functional monomer in commercial dentin bonding agents use of an experimental dentin bonding system

The objective of the present study was to understand the role of the functional monomers in dentin bonding agents of an experimental dentin bonding system by measuring the wall-to-wall contraction gap and tensile bond strength measurement. The efficacy of three commercial dentin bonding agents after using EDTA for conditioning and GM for priming was evaluated by measuring the contraction gap of the resin composite in a cylindrical dentin cavity, and by measuring the tensile bond strength of the composite to a flat dentin surface. The effect of the functional monomers was demonstrated by the contraction gap measurement alone. The value of the contraction gap was significantly different between the commercial dentin bonding agents and these agents without functional monomers (p < 0.05). It was concluded that the functional monomers were essential to obtaining the marginal integrity of the resin composite in the dentin cavities.

Marginal adaptation of commercial compomers in dentin cavity

The dentin cavity adaptation and setting characteristics of four commercial compomers were evaluated by measuring the wall-to-wall contraction gap width in the cylindrical dentin cavity and measuring the compressive strength for a maximum of 14 days after setting. The dentin cavity wall was pretreated by the dentin adhesives according to each manufacturer's instructions or the experimental contraction gap-free dentin bonding system. Complete marginal integrity was obtained in only one compomer and two resin composites which were combined with the experimental dentin bonding system. The compressive strength of two resin composites and two compomers ten minutes after setting was comparable to that after 14 days which indicated that the compomers exhibited setting characteristics as rapidly as the resin composite. It was concluded that a high efficacy dentin bonding system is required for commercial compomers to prevent gap formation during irradiation caused by the rapid setting shrinkage.

Cavity adaptation of resin composite in canine cavity in vivo

The efficacy of four commercial and two experimental dentin bonding systems was examined by observing the cavity adaptation of commercial light-cured resin composites restored in the dogs scheduled to be sacrificed after a medical experiment. Before being sacrificed, a cylindrical class V cavity was prepared in each canine, and the cavity wall was treated with one of four commercial dentin bonding systems according to the manufacturers instructions followed by resin composite filling. The maximum contraction gap widths at the occlusal, gingival and axial cavity wall were measured on the cavity section 30 min after the polymerization of the resin composite under a light microscope. Contraction gap formation was completely prevented in only one of the experimental groups in which the cavity wall was primed with 35 vol% glyceryl mono-methacrylate (GM). In addition, observation of cavity adaptation in the canine in vivo was useful to estimate consistently the efficacy of the bonding systems.

Bonding efficacy and interfacial microstructure between resin and dentine primed with glyceryl methacrylate

OBJECTIVES

To evaluate the effect of two experimental primers based on glyceryl methacrylate (GM, 2,3-dihydroxypropyl methacrylate) and 2-hydroxyethyl methacrylate (2-HEMA) on the marginal adaptation of light-cured composite placed into cylindrical dentine cavities and to study the interfacial microstructure.

METHODS

The bonding efficacy of two experimental dentine primers combined with a dentine cleanser composed of either 0.5 mol l-1 EDTA neutralized to pH 7.4 by sodium hydroxide or 10% citric acid containing 3% ferric chloride (10-3 solution), and a commercial dentine bonding agent containing phosphate ester, were examined by measuring the wall-to-wall polymerization contraction gap of a commercial light-activated resin composite placed into cylindrical dentine cavities. The adhesive interface between the dentine and the dentine adhesive was observed using a transmission electron microscope (TEM).

RESULTS

The formation of a contraction gap was completely prevented by priming with GM, regardless of the dentine cleanser used. However, in groups primed with 2-HEMA, gap formation was observed in three and four specimens out of 10 in the groups that were cleaned with the EDTA and 10-3 solution, respectively. In samples primed with GM, a high-density layer was observed by TEM at the superficial dentine in the hybrid layer, which may have indicated a high monomer content, whereas no density variations were observed in the hybrid layer in samples primed with 2-HEMA.

The adverse effect of commercial dentine-bonding systems on the skin of guinea pigs

It was widely known that 2-hydroxyethyl methacrylate (2-HEMA) can cause contact dermatitis. Commercially available dentine primers and dentine bonding agents that contain 2-HEMA are widely used. The purpose of this study was to investigate the cumulative irritation and delayed hypersensitivity caused by commercial dentine bonding systems when applied to the skin of guinea pigs. We have concluded that almost no dentine bonding systems cause cumulative irritation, but some commercially available dentine bonding systems may produce delayed hypersensitivity.

Effect of 10% phosphoric acid conditioning on the efficacy of a dentin bonding system

The efficacy of a commercial total-etch wet-bonding dentin bonding system and the effect of conditioning using 10% phosphoric acid both on the Ca-content in the substrate dentin and on the efficacy of the experimental contraction gap-free dentin bonding system were evaluated by measuring the wall-to-wall polymerization contraction gap width of a commercial light-activated resin composite filled into a cylindrical cavity prepared in extracted human dentin. The Ca-content in the dentin was measured with an EDS. Complete marginal adaptation was obtained only in the experimental contraction gap-free dentin bonding system group. The Ca-content in the dentin was rapidly reduced by the 10% phosphoric acid conditioning. It was concluded that the dentist should not decalcify the dentin cavity wall possibly by using a dentin conditioner such as 10% phosphoric acid because the resin composite paste is apt to separate easily from the decalcified dentin cavity wall during polymerization.

Effectiveness of simplified dentin bonding systems

The effectiveness of newly developed commercial dentin bonding systems (SB, MB II and KB) was evaluated by measuring the contraction gap width of a resin composite restored into a cylindrical dentin cavity prepared in an extracted human molar and by measuring the tensile bond strength to the flat dentin surface. In addition, calcium loss during dentin conditioning was analyzed using electron microanalyses. An experimental dentin bonding system composed of EDTA conditioning, GM solution priming and a bonding agent containing 10-MDP was employed as a control in which it was presumed that contraction gap formation was prevented completely. However, gap formation was observed using the three commercial simplified dentin bonding systems. SEM observation showed that the gap was formed between the resin composite and the top surface of the dentin cavity wall indicating that the fracture occurred at the adhesive interface, but never inside the dentin nor inside the resin composite.

2-HEMA-free dentin bonding system to prevent contraction gap

The effects of 2-hydroxyethyl methacrylate (2-HEMA) both in the primer and in the commercial dentin bonding agent on the efficacy of the dentin bonding system was evaluated by measuring the polymerization contraction gap width of a commercial resin composite restored in a cylindrical dentin cavity prepared in an extracted human molar. Contraction gap formation was prevented in the group of the EDTA-conditioning followed by glyceryl mono-methacrylate, ethylene glycol and 1,6-hexanediol priming regardless of the 2-HEMA content in the dentin bonding agent containing 10-methacryloxydecyl dihydrogen phosphate. However, gap formation could not be prevented completely by the 2-HEMA priming. Therefore, it was possible to conclude that 2-HEMA was neither essential in the primer nor in the dentin bonding agent because of its low bonding efficacy and the resulting side effects on skin tissue as a delayed allergic reaction.

A study on adsorption structures of methacryloyloxyalkyl dihydrogen phosphates on silver substrates by infrared reflection absorption spectroscopy

10-Methacryloyloxydecyl dihydrogen phosphate (M10P) for use in dentistry has recently been noted as an adhesive monomer contained in a metal primer. Although the treatment of a metal surface with primer before the application of resin is recognized to improve the adhesion between metal and resin, the role of M10P in the adhesion process has not been clarified. In this study, infrared reflection absorption (IRA) spectroscopy was employed to study the adsorption structures of M10P as well as 2-methacryloyloxyethyl dihydrogen phosphate (M2P) on evaporated silver substrates. The IRA spectra of the self-assembled films of those phosphates verified the adsorption of M10P or M2P on silver substrates from the methyl methacrylate solutions (5 x 10(-5) mol/L). The saturation coverages of M10P and M2P were completed after about 50 and 25 min, respectively. Two characteristic bands around 980 and 1080 cm-1 due to the PO(2-)3 stretching vibrations were observed. These results indicate that the phosphate groups of both monomers are adsorbed to silver surfaces in the dissociated form, -PO(2-)3, and form hydrophobic monolayers. The monolayer of M10P was found to be more durable against thermocycling in water than that of M2P by IRA measurements. The roles of M10P in the metal primer are presumably to form such a monolayer with appreciable durability and to promote polymerization with resin monomers.

Marginal adaptation of dental composites containing prepolymerized filler

Marginal adaptation to cylindrical dentin preparations of five commercially available dental composites--Charisma, Estelite, Herculite, Pertac, and Silux Plus--and seven experimental dental composites containing prepolymerized filler was evaluated by measurement of the wall-to-wall polymerization contraction gaps. The experimental composites were prepared with varying amounts of spherical inorganic filler particles, irregularly shaped prepolymerized filler particles, and a base resin matrix composed of BIS-GMA and TEGDMA. Cylindrical dentin preparations, approximately 3.0 mm in diameter and 1.5 mm deep, were prepared in the exposed approximal dentin surfaces of extracted human molars. These cavity preparations were pretreated with an experimental dentin bonding system consisting of 0.5 mol/L EDTA, 35% glyceryl methacrylate, and Clearfil Photo Bond, then restored with each composite. Complete marginal adaptation was observed in two composites (Silux Plux and Estelite). Wall-to-wall contraction gaps were significantly related to the amount of ashed inorganic component in the composites (0.01 < P < 0.05) and to the spherical inorganic filler content by volume (P < 0.01).

In vitro inhibition of caries around a resin composite restoration containing antibacterial filler

Class V cavities were prepared and restored with resin composite containing antibacterial filler powder (Apacider-AW, Ap-AW) using experimental restorations. The restored teeth were incubated in vitro with the cariogenic bacteria Streptococcus mutans IFO 13955. Ground sections were then prepared and examined using macrophotography. Lesions of the outer and inner wall were noted, and the depths of which the lesions penetrated were measured. We found that, in restorations containing 1-5 wt% Ap-AW, caries penetrated the marginal area, while in restorations containing 10 wt% Ap-AW the margin remained free of caries out to a distance of about 1.1 and 1.8 mm on the occlusal and gingival sides, respectively.

Effects of polyvalent alcohol solutions as dentine primers

OBJECTIVES

The purpose of this study was to examine the bonding effect of polyvalent alcohols as dentine primers without a methacrylate group, which may cause contact dermatitis.

METHODS

The efficacy of polyvalent alcohols as dentine primers was estimated by measuring the wall-to-wall polymerization contraction gap width of a light-activated resin composite filled in a cylindrical dentine cavity in an extracted human tooth. A dentine cavity was cleaned with ethylenediaminetetraacetic acid (EDTA) and primed with an aqueous solution of either ethylene glycol, glycerol, erythritol, xylitol or sorbitol at concentrations of between 25 and 75 wt%. A light-cured resin composite was filled after the application of a commercial dual-cured bonding agent.

RESULTS

Contraction gap formation was completely prevented only in the group in which the dentine cavity had been primed with an aqueous solution of 62.5% wt% ethylene glycol. Furthermore, in the measurement of a tensile bond strength to a flat dentine surface, high tensile bond strength (17.5 +/- 4.4 MPa) was observed in the group that was primed with 62.5% ethylene glycol solution.

CONCLUSION

These results suggest that it is not necessary to dissolve methacrylates in a dentine primer when the primer is dried with a blast of compressed air before application of a polymerizable, suitable bonding agent. It is concluded that a dentine primer composed of polyvalent alcohol solutions without a methacrylate group which may cause contact dermatitis, is effective as a dentine primer, affects the dentine surface, and promotes the efficacy of the dentine bonding system.

Evaluation of skin irritation and sensitization of two diol solutions used as experimental dentin primers in humans and guinea pigs

The purpose of the present study was to evaluate the safety of ethylene glyco (EG) and 1,6-hexanediol (HD) solutions as experimental dentin primers when subjected to the guinea pig maximization test (GPMT), primary irritation test, cumulative skin irritation test and human patch test. No primary and cumulative skin irritation resulting from the use of 62.5% EG or 45% HD solutions was observed. In the case of GPMT, the animals sensitized with 2-hydroxyethyl methacrylate (2-HEMA) responded to 100% HD. 62.5% EG and 45% HD as dentin primers were safer than 2-HEMA such as a methacrylic primer.

Contact dermatitis caused by 2-HEMA and GM dentin primer solutions applied to guinea pigs and humans

The purposes of this study were to examine whether 2-HEMA, GM, and methacrylic acid cause contact dermatitis, and to determine the optimum concentrations of these primers for sensitization and challenge in guinea pigs. A sensitizing concentration of 0.2% 2-HEMA resulted in strong rubefaction and several vesiculopapules in response to the challenge, and a sensitizing concentration of 0.5% GM produced strong rubefaction at 24 hours. We also observed the development of contact dermatitis on human brachia in a closed-patch test. Skin that was treated with both 2-HEMA and GM clearly showed the onset of rubefaction and itchiness. 2-HEMA caused sensitized delayed allergic reactions at all the concentrations tested.

Contact angle of dentin bonding agents on the dentin surface

Physical changes in the surface characteristics of dentin during bonding procedures were evaluated by measuring the contact angles of three standard liquids, to determine the surface free energy, and that of a commercially available dual cured dentin bonding agent dropped on the primed dentin surface. The commercial dentin bonding agent did not form a hemispherical shape on the ground dentin surface, probably because it penetrated into the smear layer due to the microcapillary effect. Not could the contact angle be measured on the dentin surfaces treated with any of four experimental primers, because the bonding agent rapidly spread over the primed dentin surface. It was concluded that the priming of the dentin surface after removing the smear layer served to increase the surface free energy and to improve the wettability of the bonding agent on the dentin.

Adaptation of a resin composite in vivo

OBJECTIVE

The adaptation of experimental dentine bonding systems has been evaluated in vivo.

METHODS

A cylindrical cavity which extended into dentine was prepared in the facial surface of vital teeth that were to be extracted for orthodontic reasons. The preparations were restored with a commercial light-activated resin composite that was mediated by experimental dentine bonding systems. The restored teeth were extracted as soon as possible following polymerization of the composite. The marginal and internal adaptation of the resin composite restoration was observed under a light microscope in both horizontal and longitudinal sections of the teeth immediately after extraction.

RESULTS

Of the experimental dentine bonding systems investigated, those including a primer of glyceryl methacrylate showed complete adaptation whereas those with primers of 2-HEMA showed a contraction gap in three out of 10 specimens.

Duration of cleaning and priming of dentine and contraction gap formation

OBJECTIVES

The effects of the duration of cleaning and priming on the marginal adaptation of a light-activated resin composite in a cylindrical dentine cavity were examined by measuring the width of the wall-to-wall polymerization contraction gap.

METHODS

The dentine cavity was cleaned with ethylene diamine tetra-acetic acid (EDTA) and primed 35 vol% hydroxyethyl methacrylate (HEMA) or glyceryl methacrylate (GM) solution for up to 60 s. The cavity was filled with a light-cured resin composite after the application of a dual-cured dentine bonding agent.

RESULTS

The formation of a contraction gap by the composite appeared to be prevented completely, regardless of the duration of priming with GM solution, when the cavity was cleaned with EDTA for 60 s. When cleaning was limited to just 30 s, GM priming had to be prolonged to 60 s to obtain complete marginal integrity. A significantly wide contraction gap was observed without EDTA cleaning, even when the cavity wall was primed with GM solution for 60 s.

CONCLUSION

GM solution was a better dentine primer than HEMA solution, since HEMA priming did not prevent gap formation under any of the conditions tested.

Optimum concentration and application time of 1,6-hexanediol as a dentin primer

The optimum concentration and application time for an experimental dentin primer composed of an aqueous solution of 1,6-hexanediol were determined by measuring the wall-to-wall polymerization contraction gap width of a commercial light-activated resin composite in a cylindrical dentin cavity prepared in an extracted human molar. Contraction gap formation was completely prevented only when the dentin cavity wall was primed with 45 wt% 1,6-hexanediol for 60 s. There were no significant differences in tensile bond strength among primers composed of 20.0-57.5 wt% 1,6-hexanediol. These results suggest that the optimum concentration and application time are 45 wt% and 60 s, respectively.

A delayed hypersensitivity reaction to dentine primer in the guinea-pig

OBJECTIVE

This study was undertaken to examine the possibility of a delayed hypersensitivity reaction or contact dermatitis occurring in the guinea-pig in response to methacrylate derivatives used as experimental dentine primers.

METHODS

The dentine primers 2-HEMA, GM, MA and MMA were tested in a guinea-pig maximization test.

RESULTS

All the dentine primers tested produced positive delayed hypersensitivity reactions in the guinea-pig. MMA produced the most severe reaction.

CONCLUSION

It is concluded that in the clinical situation, clinicians and other members of the dental team should be aware of the need for careful handling of the dentine primers tested.

Water content in experimental dentine primers to minimize the contraction gap width of a light-cured resin composite

OBJECTIVES

The effect of water content in experimental dentine primers consisting of an aqueous solution of either glyceryl methacrylate (GM) or hydroxyethyl methacrylate (HEMA), and in experimental self-etching dentine primers composed of methacryloxyethyl hydrogen phenyl phosphate (Phenyl-P), was evaluated by measuring the wall-to-wall polymerization contraction gap width of a commercial light-activated resin composite filled in a cylindrical dentine cavity prepared in an extracted human molar.

METHODS

A commercial light-cured dentine bonding agent was applied to the cavity after cleaning with EDTA and priming with either GM or HEMA, or after self-etching priming by Phenyl-P diluted in either GM or HEMA solution.

RESULTS

In the GM and HEMA solutions, the gap width was minimized when the water content was 65 wt% even though gap formation could not be prevented by HEMA solution. With the self-etching dentine primers, gaps could not be observed under the light microscope with 16 wt% Phenyl-P diluted in 35 wt% GM or HEMA or with 20 wt% Phenyl-P diluted in 20 wt% GM or HEMA.

CONCLUSION

The water content in both the experimental dentine primers and the self-etching dentine primers which yielded the minimum contraction gap width for the resin composite in the dentine cavity was approximately 60 wt%.

Effect of filler content on bonding efficacy of 4-META MMA/TBB bonding agent

The effect of adding micro filler to 4-META MMA/TBB dentin bonding agent was examined by measuring the wall-to-wall polymerization contraction gap of a commercial light-cured resin composite in a cylindrical dentin cavity and the tensile bond strength of the flat dentin surface. Gap formation was not completely prevented by using a filled dentin bonding agent although the tensile bond strength was significantly greater than that obtained using the unfilled dentin bonding agent. These results indicate that the addition of micro filler to the dentin bonding agent does not produce complete adaptation of the resin composite to the dentin cavity wall.

Efficacy of various commercial dentin bonding systems

OBJECTIVES

The purpose of this study was to test the bonding efficacy of fifteen commercial dentin bonding systems and also to determine the effect of various commercial dentin cleaners on bonding and dentin hardness.

METHODS

Each commercial bonding system was examined by two methods: 1) measuring the maximum contraction gap of a light-cured composite in a cylindrical dentin cavity; and 2) determine the tensile bond strength to a flat dentin surface. In addition, various commercial dentin cleansers were investigated to determine if dentin hardness was reduced after cleaning. As a control, the dentin surface was cleaned with neutralized EDTA prior to the combined application of an experimental dentin primer, a commercial bonding agent, and a commercial light-cured composite.

RESULTS

The study demonstrated that complete marginal adaptation was obtained by the experimental dentin bonding system used as the control. However, it was not possible to completely prevent gap formation with the commercial dentin bonding systems tested. A high correlation (R = 0.88) was observed between maximum contraction gap width and reduction of hardness only in the group in which the dentin was rinsed after cleaning.

SIGNIFICANCE

It is very important to combine optimal dentin cleansers, primers, and bonding agents to compensate for the polymerization contraction stress of the composite. Therefore, it was speculated that the commercial dentin bonding systems tested in this study consisted of unsuitable materials.

Self-etching dentin primers containing phenyl-P

The dentin bonding efficacies of two commercial dentin bonding systems and experimental self-etching dentin primers composed of methacryloxyethyl hydrogen phenyl phosphate (Phenyl-P) and either hydroxyethyl methacrylate (HEMA) or glyceryl methacrylate (GM,2,3-dihydroxypropyl methacrylate) were examined. The wall-to-wall polymerization contraction gap width of a commercial light-activated resin composite in a cylindrical dentin cavity and the tensile bond strength to a flat dentin surface were measured. Changes in dentin hardness were determined by Micro Vickers Hardness measurement, and an SEM observation was performed after priming. Formation of a contraction gap was completely prevented by the application of Phenyl-P diluted in HEMA or GM solution combined with a commercial dentin bonding agent, although gap formation was evident in nearly half of the specimens with both commercial dentin bonding systems. The mean tensile bond strengths of the tested groups varied from 16.3 to 20.7 MPa, and there were no significant differences between groups. Based on the measurement of Micro Vickers Hardness and SEM observation after priming, a slight reduction in dentin hardness was observed. However, this reduction in dentin hardness due to self-etching priming did not significantly correlate with either contraction gap width or tensile bond strength.

Effect of delayed light curing of a resin composite on marginal integrity in cylindrical dentine cavities

The effect of delayed light curing of resin composite on marginal adaptation has been examined by measuring the wall-to-wall polymerization contraction gap when using a commercial resin composite together with experimental dentine bonding systems to restore cylindrical preparations in dentine. Morphological changes in dentine during dentine bonding procedures were observed using a scanning electron microscope. In a previous report, the contraction gap width for a resin composite increased when irradiation of the resin system was delayed, despite the use of a dentine bonding system considered to be 'contraction' gap free. Such deterioration in marginal adaptation was minimized by use of an experimental dentine primer, 40% erythritol methacrylate aqueous solution (EM), followed by the use of a commercial dual- or autocured dentine bonding agent. Under scanning electron microscopy, the dentine surface microstructure became unclear after EM priming, and a polymer film was detected after polymerization of the dual-cured dentine bonding agent. The hydrogelled primer and the formation of a polymer network on the dentine surface may prevent the flow of fluid from the pulp through the dentine tubules, and maintain marginal integrity if there is delay in light curing of light-activated resin composite systems.

Efficacy of dentin bonding agents combined with self-etching dentin primers containing Phenyl-P

The bonding efficacies of three commercial dentin bonding agents and an intermediate resin combined with two self-etching dentin primers (aqueous solutions of methacryloxyethyl hydrogen phenyl phosphate (Phenyl -P, 20 wt%) and either hydroxyethyl methacrylate (HEMA, 35 wt%) or glyceryl methacrylate (GM, 35 wt%)) were examined by measuring the wall-to-wall contraction gap of a light-activated resin composite in a cylindrical dentin cavity prepared in extracted human teeth. Among the tested bonding agents, only one material showed complete adaptation between the resin composite and the dentin cavity margin i. e. a dual -cured agent that contained 10-methacryloxydecyl dihydrogen phosphate (MDP). The contraction gap of the intermediate resin was significantly reduced by pretreatment with the experimental self-etching dentin primers containing Phenyl-P.

Factors affecting tensile bond strength of composite to dentin

Five factors which might affect the tensile bond strength of an experimental dentin bonding system to extracted human dentin were evaluated. Flat dentin surfaces of extracted human teeth were cleaned with 0.5 mol/L EDTA and pretreated with 35% glyceryl methacrylate solution. A commercial light-activated composite was then bonded using a commercial bonding agent. The five evaluated factors were: 1) embedding or not embedding the specimens in an epoxy resin, 2) thickness of the specimens, 3) crosshead speed during measurement, 4) storage time of the specimens, and 5) dentin substrate depth. Measurements were made of the bond strengths that resulted from the effects of these varied factors. These measurements were compared to a control group. Only the specimen thickness significantly affected the measured bond strength, and extremely thin specimens (about 1 mm) showed the lowest bond strength.

Shear bond strength of composite resin to unbleached and bleached human dentine

The purpose of this study was to compare the shear bond strength of composite resin to unbleached and bleached human dentine when used in conjunction with new dentine bonding systems. One hundred extracted, caries free, permanent human molars were used in this study. An in vitro walking bleach model was developed to stimulate clinical conditions during bleaching. It was found that the mean shear bond strength of composite resin to bleached dentine attained was lower than that to unbleached dentine. The value of 6.7 MPa bond strength to bleached human dentine demonstrated by All-Bond dentine conditioner and adhesive (Technique 1B) was much higher than in previous reports.

Wind-up of tooth pulp-evoked responses and its suppression in rat trigeminal caudal neurons

Induction and suppression of wind-up were studied in 97 tooth pulp-driven neurons in the trigeminal subnucleus caudalis, using Wistar albino rats anesthetized with urethane and alpha-chloralose. Tooth pulp stimulation applied to an ipsilateral lower incisor evoked early discharges, indicating excitatory inputs from A-delta fibers and subsequent late discharges from C-fiber volleys in caudal neurons. Wind-up was efficiently evoked by stimulation delivered at 0.3-1 Hz, with current intensity sufficient to evoke late discharges. Conditioning stimulation of the arcuate nucleus of the hypothalamus (ARH) suppressed late discharges, including wind-up, without affecting the A-fiber response. Focal cooling of the periaqueductal gray (PAG) abolished the suppression by the ARH and further enhanced the wind-up of the caudal neurons. These results suggest: 1) Temporal summation of depolarization evoked by C-fiber volleys builds wind-up in caudal neurons; 2) ARH stimulation suppresses late discharges by blocking synaptic transmission from C-fiber inputs, and this interrupts prolonged facilitation of the neurons; 3) the ARH is involved in induction of inhibitory controls descending from the PAG to the trigeminal caudalis.

Possibility of allergic reaction to dentin primer--application on the skin of guinea pigs

We studied the allergic reaction of guinea pigs to glyceryl methacrylate (GM), hydroxyethyl methacrylate (HEMA) and meso-erythritol methacrylate (EM), which are used as dentin primers. On the 18th day of the application test, when macroscopic investigation revealed an inflammatory reaction, the methacrylic acid-treated group showed marked eschar formation in comparison with the control group. In each of the dentin primer groups, a slight degree of skin redness was noted, but there were no serious symptoms. On the 25th day, the applications were resumed macroscopic inspection on the 32nd day found eschar in the methacrylic acid group only. Therefore, this experiment with dentin primers suggests a delayed allergic reaction. Local irritability test showed a more severe reaction than the application test. In this test, all experimental dentin primers and methacrylic solution promptly showed inflammation, and the chemical compound, methacrylic acid was a factor in inflammation.

Laser-Raman spectroscopic study of the adhesive interface; analysis between 4-META/MMA-TBB resin and bovine or human dentin

A study of the adhesive interface between 4-MET/MMA-TBB resin and hydroxyapatite or bovine enamel was reported. The present report is a continuation of that study. The possible chemical interaction between 4-methacryloxyethyl trimellitic acid (4-MET) and bovine or human dentin was examined by laser Raman spectroscopy. A 4-MET monomer solution was prepared by evaporating two thirds of the methyl methacrylate (MMA) in a commercial dentin adhesive. The solution was then applied to a dentin surface after treating the surface with an aqueous solution of 10% citric acid containing 3% ferric chloride. A salt formed on both bovine and human dentin surfaces. This salt was formed by the process we previously reported in which 4-MET formed a salt on the hydroxyapatite and bovine enamel. No evidence was observed of chemical reaction between 4-MET and any organic component in the dentin.

Nociceptive projection from tooth pulp to the lateral hypothalamus in rats

The response of the rat lateral hypothalamic (LHA) neurons to tooth pulp electrical stimulation and the sensory projection pathway from the incisor pulp to the LHA were studied by electrophysiology and histology. 1) LHA neurons that responded to contralateral lower incisor pulp stimulation were found in the lateral part of the LHA. These neurons also responded to intensive tail pinch, but not to innocuous stimuli nor to applied glucose. 2) Histological study after injection of WGA-HRP into the lateral part of the LHA revealed many retrogradely labeled neurons in the ventral part of the periventricular gray (PVG) in the mesencephalon. 3) The PVG neurons responded antidromically to LHA stimulation and to contralateral lower incisor pulp stimulation. 4) After injection of WGA-HRP into the ventral portion of the PVG, many labeled cells were found in the contralateral subnucleus caudalis in the spinal tract of the trigeminal nucleus (NTST) where termination of the pulpal afferent was previously reported. It is thus suggested that the PVG is the most likely site of transmission relay of nociceptive inputs from incisors to the LHA.