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Prado MC, Campos P, Pasetto S, Marciano MA, Sinhoreti MAC, Geraldeli S, de-Jesus-Soares A, Abuna G. Development of nanobiosilicate, tricalcium phosphate and chlorhexidine materials for biomineralization with crystallographic similarity to hydroxyapatite and biomodified collagen. Dent Mater 2024; 40:267-275. [PMID: 37989699 DOI: 10.1016/j.dental.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/24/2023] [Accepted: 11/14/2023] [Indexed: 11/23/2023]
Abstract
OBJECTIVES The aim of this work is to test experimental cements, doped with a silicate based bioactive nanoparticle (NanoBiosilicate). Methods, we synthesized a glass nanoparticle by Sol-Gel Stöber method, used to be incorporated in a dental material for endodontic uses. MATERIALS AND METHODS We assess the mineralizing properties and biocompatibility. Besides the crystallography characterization of the resultant new crystals. Results, After analysis, and comparison with commercial materials, the material tested was similar in mechanical properties required by ISO, The ion release was effective after 2 hr. of setting and the novel material was cell compatible accepted by ISO. RESULTS We found new formed Calcium Phosphate peaks in the spectroscopic analysis (FTIR), remarkably the crystals formed were comparable to hydroxyapatite when analyzed with a Selected Area Electron Diffractometer, with rings of 2.84 Å for 002, and the 2.77 Å is also visible for 210. The 6.83 Å and 6.88 Å, for respective 222 and 004. The incorporation of Chlorhexidine was not detrimental for this property, Significance, the features mentioned represented a progress in biomineralization field that was associated to an improved mineral structure formation with increased crystallographic similarity to natural hydroxyapatite. When chlorhexidine was added a favorable biomodification of the remaining collagen in dentinal walls and antimicrobial activity potential were also observed.
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Affiliation(s)
- Marina C Prado
- Department of Restorative Dentistry - Endodontics Division, Piracicaba Dental School - State University of Campinas (FOP-UNICAMP), Piracicaba, SP, Brazil; Department of General Dentistry, School of Dental Medicine - East Carolina University (ECU-SoDM), Greenville, NC, USA.
| | - Paulo Campos
- Department of Restorative Dentistry - Dental Materials Division, Piracicaba Dental School - State University of Campinas (FOP-UNICAMP), Piracicaba, SP, Brazil
| | - Silvana Pasetto
- Department of Biology, East Carolina University (ECU-SoDM), Greenville, NC, USA
| | - Marina A Marciano
- Department of Restorative Dentistry - Endodontics Division, Piracicaba Dental School - State University of Campinas (FOP-UNICAMP), Piracicaba, SP, Brazil
| | - Mário A C Sinhoreti
- Department of Restorative Dentistry - Dental Materials Division, Piracicaba Dental School - State University of Campinas (FOP-UNICAMP), Piracicaba, SP, Brazil
| | - Saulo Geraldeli
- Department of General Dentistry, School of Dental Medicine - East Carolina University (ECU-SoDM), Greenville, NC, USA
| | - Adriana de-Jesus-Soares
- Department of Restorative Dentistry - Endodontics Division, Piracicaba Dental School - State University of Campinas (FOP-UNICAMP), Piracicaba, SP, Brazil
| | - Gabriel Abuna
- Department of General Dentistry, School of Dental Medicine - East Carolina University (ECU-SoDM), Greenville, NC, USA.
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Uskoković V, Abuna G, Hampton JR, Geraldeli S. Tunable Release of Calcium from Chitosan-Coated Bioglass. Pharmaceutics 2023; 16:39. [PMID: 38258050 PMCID: PMC10818729 DOI: 10.3390/pharmaceutics16010039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 12/20/2023] [Accepted: 12/26/2023] [Indexed: 01/24/2024] Open
Abstract
Bioglass presents a standard biomaterial for regeneration of hard tissues in orthopedics and dentistry. The notable osteo-inductive properties of bioglass are largely due to the release of calcium ions from it. However, this release is not easily controllable and can often be excessive, especially during the initial interaction of the biomaterial with the surrounding tissues. Consequently, this excessive release can deplete the calcium content of the bioglass, ultimately reducing its overall bioactivity. In this study, we have tested if applying biopolymer chitosan coatings of different thicknesses would be able to mitigate and regulate the calcium ion release from monodisperse bioglass nanoparticles. Calcium release was assessed for four different chitosan coating thicknesses at different time points over the period of 28 days using a fluorescence quencher. Expectedly, chitosan-coated particles released less calcium as the concentration of chitosan in the coating solution increased, presumably due to the increased thickness of the chitosan coating around the bioglass particles. The mechanism of release remained constant for each coating thickness, corresponding to anomalous, non-Fickian diffusion, but the degree of anomalousness increased with the deposition of chitosan. Zeta potential testing showed an expected increase in the positive double layer charge following the deposition of the chitosan coating due to the surface exposure of the amine groups of chitosan. Less intuitively, the zeta potential became less positive as thickness of the chitosan coating increased, attesting to the lower density of the surface charges within thicker coatings than within the thinner ones. Overall, the findings of this study demonstrate that chitosan coating efficiently prevents the early release of calcium from bioglass. This coating procedure also allows for the tuning of the calcium release kinetics by controlling the chitosan concentration in the parent solution.
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Affiliation(s)
- Vuk Uskoković
- TardigradeNano LLC, 7 Park Vista, Irvine, CA 92604, USA
- Department of Mechanical Engineering, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA
| | - Gabriel Abuna
- School of Dental Medicine, East Carolina University, 1851 MacGregor Downs Rd, Greenville, NC 27834, USA; (G.A.); (J.R.H.)
| | - Joseph Ryan Hampton
- School of Dental Medicine, East Carolina University, 1851 MacGregor Downs Rd, Greenville, NC 27834, USA; (G.A.); (J.R.H.)
| | - Saulo Geraldeli
- School of Dental Medicine, East Carolina University, 1851 MacGregor Downs Rd, Greenville, NC 27834, USA; (G.A.); (J.R.H.)
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da Silva MVM, Batista JMN, Fraga MAA, Correr AB, de Campos EA, Geraldeli S, Sinhoreti MAC. Surface Analysis of a Universal Resin Composite and Effect of Preheating on its Physicochemical Properties. Braz Dent J 2023; 34:115-126. [PMID: 37909634 PMCID: PMC10642265 DOI: 10.1590/0103-6440202305411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/22/2023] [Indexed: 11/03/2023] Open
Abstract
This study was aimed at analyzing the surface properties of a universal resin composite and evaluating the effect of preheating on its physicochemical properties. Two commercial resin composites were used under two conditions: Filtek Universal Restorative (UR); UR preheated (URH); Filtek Supreme (FS) and FS preheated (FSH). The film thickness (FT) test (n = 10) was done using two glass slabs under compression. Flexural strength (FLS) and modulus (FLM) were evaluated using a three-point flexion test (n = 10). Polymerization shrinkage stress (PSS) was evaluated in a universal testing machine (n = 5). Gap width (GW) between composite and mold was measured in internally polished metallic molds (n = 10). The degree of conversion (DC) was evaluated by Fourier Transform Infrared spectroscopy (n = 3). The morphology of the filler particles was checked by scanning electron microscope (SEM) and EDX analysis. Surface gloss (SG) and surface roughness (SR) were evaluated before and after mechanical brushing (n = 10). The outcomes were submitted to 2-way ANOVA and Tukey's test (α = 0.05). Lower mean values of FT were observed for the preheated groups when compared to the non-preheated groups. URH and FSH showed higher mean values of FLS and FLM when compared with UR and FS. No differences were observed between groups in the PSS test. The GW was higher for the UR and FS groups when compared with URH and FSH. The DC was higher for preheated resin composites when compared to the non-preheated groups. The SR of the UR composite was higher than the FS after mechanical brushing, while the SG was higher for the FS groups. In conclusion, the universal resin composite tested generally presented similar physicochemical properties compared with the nanofilled resin composite and either similar or slightly inferior surface properties. The preheating improved or maintained all properties evaluated.
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Affiliation(s)
- Marcus Vinícyus Manoel da Silva
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - João Marcos Nascimento Batista
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - May Anny Alves Fraga
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Américo Bortolazzo Correr
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Edson Alves de Campos
- Department of Restorative Dentistry, Araraquara Dental School, Sao Paulo State University, Araraquara, SP, Brazil
| | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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Sinhoreti MAC, Tomaselli LDO, Rocha MG, Oliveira D, Roulet JF, Geraldeli S. Effect of elastomeric urethane monomer on physicochemical properties and shrinkage stress of resin composites. Braz Dent J 2023; 34:135-142. [PMID: 37909636 PMCID: PMC10642279 DOI: 10.1590/0103-6440202305475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 07/24/2023] [Indexed: 11/03/2023] Open
Abstract
This study aimed to evaluate the effect of an elastomeric urethane monomer (Exothane-24) in different concentrations on physicochemical properties, gap formation, and polymerization shrinkage stress of experimental resin composites. All experimental composites were prepared with 50 wt.% of Bis-GMA and 50 wt.% of TEGDMA, to which 0 wt.% (control), 10 wt.%, 20 wt.%, 30 wt.%, and 40 wt.% of Exothane-24 were added. Filler particles (65 wt.%) were then added to these resin matrixes. Ultimate tensile strength (UTS: n = 10), flexural strength (FS: n = 10), flexural modulus (FM: n = 10), hardness (H: n = 10), hardness reduction (HR: n = 10), degree of conversion (DC: n = 5), gap width (GW: n = 10), and polymerization shrinkage stress in Class I (SS-I: n = 10) and Class II (SS-II: n = 10) simulated configuration. All test data were analyzed using one-way ANOVA and Tukey's test (α = 0.05; = 0.2). Exothane-24 in all concentrations decreased the H, HR, DC, GW, SS-I, and SS-II (p < 0.05) without affecting the UTS, and FS (p > 0.05). Reduction in FM was observed only in the Exothane 40% and 30% groups compared to the control (p < 0.05). Exothane-24 at concentrations 20% and 30% seems suitable since it reduced GW and polymerization SS without affecting the properties of the composite resins tested, except for H.
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Affiliation(s)
- Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division,
Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Lucas de Oliveira Tomaselli
- Department of Restorative Dentistry, Dental Materials Division,
Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Mateus Garcia Rocha
- Restorative Dental Science Department, Operative Dentistry
Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Dayane Oliveira
- Restorative Dental Science Department, Operative Dentistry
Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Jean-François Roulet
- Restorative Dental Science Department, Operative Dentistry
Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East
Carolina University, Greenville, NC, USA
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de Freitas BN, da Silva PO, Pintado-Palomino K, de Almeida CVVB, Souza-Gabriel AE, Corona SAM, Geraldeli S, Grosgogeat B, Roulet JF, Tirapelli C. Patients´ satisfaction concerning direct anterior dental restoration. Braz Dent J 2023; 34:82-93. [PMID: 37466529 PMCID: PMC10355263 DOI: 10.1590/0103-6440202305260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 03/20/2023] [Indexed: 07/20/2023] Open
Abstract
The objective of this study was to observe patients' satisfaction with their in-service direct anterior dental restorations and to compare it with clinical evaluation using FDI (Federation Dental International) criteria. Patients scored their own anterior dental restorations regarding satisfaction (satisfactory /dissatisfactory). If dissatisfaction was mentioned, then, they would be interviewed about the complaint. In the same session, the dental restorations were clinically evaluated by two dentists using FDI criteria (1-5 score) concerning esthetic, functional, and biological domains. Descriptive statistics were used for frequencies of scores attributed by patients and clinicians. In order to compare patients' to clinicians' frequencies, the Chi-square test was applied (p ≤ 0.05). A total of 106 restorations were evaluated by patients and clinicians. Patients reported 52.8% of restorations satisfactory and 47.8% dissatisfactory. Overall, clinicians reported the same restorations as 82,3% satisfactory and 17,6% dissatisfactory. Patients' most frequent complaints referred to color, followed by anatomical form, fracture of material and retention, and approximal anatomical form. Comparing patients' satisfaction and dissatisfaction rates to clinicians' evaluation per criteria, there was no difference regarding esthetics. The frequency of dissatisfactory restorations by clinicians was significantly lower when functional and biological properties were compared with patients' opinions. Direct anterior dental restorations were more frequently reported as satisfactory by patients and clinicians, being the main complaints related to esthetic issues. When clinicians and patients' evaluations were compared, it was observed that the frequencies of satisfactory restoration by patients and clinicians were similar regarding esthetic properties, and significantly different regarding functional and biological properties.
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Affiliation(s)
- Bruna Neves de Freitas
- Department of Dental Materials and Prosthodontics, School of
Dentistry of Ribeirão Preto, University of São Paulo. Ribeirão Preto, SP,
Brazil
| | | | | | | | - Aline Evangelista Souza-Gabriel
- Department of Restorative Dentistry, School of Dentistry of
Ribeirao Preto, University of São Paulo. Ribeirão Preto, SP, Brazil
| | - Silmara Aparecida Milori Corona
- Department of Restorative Dentistry, School of Dentistry of
Ribeirao Preto, University of São Paulo. Ribeirão Preto, SP, Brazil
| | - Saulo Geraldeli
- East Carolina University, School of Dental Medicine, Department of
General Dentistry Greenville. Greenville, NC, United States of America
| | - Brigitte Grosgogeat
- Faculté d’Odontologie, Laboratoire des Multimateriaux et
Interfaces, UMR CNRS 5615, France
| | | | - Camila Tirapelli
- Department of Dental Materials and Prosthodontics, School of
Dentistry of Ribeirão Preto, University of São Paulo. Ribeirão Preto, SP,
Brazil
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Nascimento Batista JM, Sinhoreti MAC, Alves Fraga MA, Manoel da Silva MV, Correr AB, Roulet JF, Geraldeli S. Effect of preheating on mechanical properties of a resin-based composite containing elastomeric urethane monomer. J Mech Behav Biomed Mater 2023; 141:105758. [PMID: 36934689 DOI: 10.1016/j.jmbbm.2023.105758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/02/2023] [Accepted: 03/03/2023] [Indexed: 03/08/2023]
Abstract
This study investigated the effect of preheating an elastomeric urethane monomer (Exothane-24) experimental resin composite on its physicochemical properties. Two resin matrices were formulated: (a) 50 wt% Bisphenol-glycidyl methacrylate (Bis-GMA) and 50 wt% triethylene glycol dimethacrylate (TEGDMA); and (b) 20 wt% Exothane-24, 40 wt% Bis-GMA and 40 wt% TEGDMA. A photoinitiator system (0.25 wt% camphorquinone and 0.50 wt% ethyl-4-dimethylamino benzoate) and 65 wt% of the inorganic filler (20 wt% 0.05 μm silica and 80 wt% 0.7 μm BaBSiO2 glass) were added to both matrices. These formulations were then assigned to four groups: Exothane-24 (E); Exothane-24 plus preheating (EH); no Exothane-24 (NE); and no Exothane-24 plus preheating (NEH). NEH and EH were preheated at 69 °C. The dependent variables were as follows: film thickness (FT); polymerization shrinkage stress (PSS); gap width (GW); maximum rate of polymerization (Rpmax); and degree of conversion (DC). Data were statistically analyzed by two-way ANOVA and Tukey's test (α = 0.05). Preheating reduced FT for both composites. PSS and GW were significantly lower for EH, when compared with E. The DC for EH and NEH and the Rpmax for EH increased significantly. Preheating improved most of the physicochemical properties (FT, PSS, GW, and DC) of the experimental resin composite containing Exothane-24.
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Affiliation(s)
- João Marcos Nascimento Batista
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
| | - May Anny Alves Fraga
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Marcus Vinícius Manoel da Silva
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Américo Bortolazzo Correr
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Jean-François Roulet
- Department of Restorative Dental Science, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
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Grohmann CVS, Sinhoreti MAC, Soares EF, Oliveira RFD, Souza-Júnior EJDC, Geraldeli S. Effect of a polymerization inhibitor on the chemomechanical properties and consistency of experimental resin composites. Braz Dent J 2022; 33:92-98. [PMID: 35766722 DOI: 10.1590/0103-6440202204242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 05/21/2021] [Indexed: 11/21/2022] Open
Abstract
This study investigated the effect of butylated hydroxytoluene (BHT) inhibitor on degree of conversion (DC), flexural strength (FS), flexural modulus (FM), Knoop microhardness (KH), microhardness reduction (HR), and consistency of experimental resin composites at different BHT concentrations: C0 (control-0%); C0.01 (0.01%); C0.025 (0.025%); C0.05 (0.05%); C0.1 (0.1%); and C0.5 (0.5%). For the consistency, the composites were tested immediately after being exposed to a dental chair headlight (0, 20, 40 and 60 s). Data concerning DC, FS, FM, KH, and HR were submitted to one-way ANOVA, while the consistency data was submitted to 2-way ANOVA; mean values were then compared (Tukey's test; α=0.05). The KH, FS and FM analyses showed no significant difference among the composites tested. For DC, C0 showed the highest mean value (74.2%) and differed only from C0.5 (67.2%). For HR, C0.5 showed the lowest mean (13.09%) value and differed from C0 (26.4%) and C0.01 (24.87). The consistency analysis showed no difference among C0.05, C0.1 and C0.5, considering 0 and 20 s of light exposure, while C0 (14.07 mm), C0.01 (13.97 mm), and C0.025 (14.18 mm) showed higher mean values at 0 s when compared to 20 s (12.67, 12.77 and 13.05 mm, respectivelly). Polymerization occurred within 40 s of light exposure for C0, C0.01, C0.025, and C0.05 and within 60 s for C0.1. In conclusion, the BHT concentrations had no significant influence on FS, FM and KH. The higher the BHT concentration, the longer was its handling time under light, with a significant improvement in the HR, but a decrease in DC. Therefore, BHT at 0.1% showed the best outcomes concerning all the BHT concentrations tested.
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Affiliation(s)
- Caio Vinícius Signorelli Grohmann
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Eveline Freitas Soares
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Robson Ferraz de Oliveira
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | | | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
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Pires-de-Souza FDCP, Tonani-Torrieri R, Geng Vivanco R, Arruda CNFD, Geraldeli S, Sinhoreti MAC, Roulet JF. Effect of Incorporation of Bioactive Glass-Ceramic into Self-etch Adhesives. J Adhes Dent 2022; 24:195-202. [PMID: 35416447 DOI: 10.3290/j.jad.b2916451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE This study evaluated the effect of incorporating different concentrations of biosilicate in an experimental self-etch adhesive (SE). MATERIALS AND METHODS Biosilicate microparticles (0, 2, 5, and 10 wt%) were incorporated into the primer, and degree of conversion (DC) and wettability were tested (one-way ANOVA, Tukey's test, p < 0.05). The two best concentrations were selected (2% and 5%) for µTBS evaluation. Sound human molars (n=20) were sectioned into quarters and randomly assigned to 4 experimental groups: 1. experimental SE + 0% biosilicate (Exp0%; negative control); 2. experimental SE + 2% biosilicate (Exp2%); 3. experimental SE + 5% biosilicate (Exp5%); 4. AdheSE (Ivoclar Vivadent, positive control). After adhesive application, Filtek Z350 (3M Oral Care) composite was built up incrementally to 5 mm. Each quarter tooth was sectioned into sticks (0.9 mm2) and stored in distilled water (37°C) for 24 h, 6 months, or 1 year. After storage, sticks were submitted to µTBS (0.75 mm/min). The Ca:P ratio was analyzed using scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDS). Data were analyzed using two-way ANOVA with Bonferroni's correction, with statistical siginificance set at p < 0.05. Fracture patterns were observed under a digital microscope and adhesive interfaces with transmission electron microscopy (TEM). RESULTS Exp2% presented the highest DC (p < 0.05), Exp5% exhibited the lowest µTBS (p < 0.05), and adhesive failures were predominant in all groups. TEM suggested remineralized areas in Exp2% and to a lesser degree in Exp5%. Exp2% and Exp5% showed a higher Ca:P ratio after aging (p < 0.05). CONCLUSION The incorporation of biosilicate microparticles can improve the properties of self-etch adhesives. It increased the DC of the experimental adhesive as well as mineral deposition. However, the adhesive properties are concentration dependent, as a higher concentration of microparticles can adversely affect the mechanical properties of an adhesive.
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de Freitas BN, Pintado-Palomino K, de Almeida CVVB, Cruvinel PB, Souza-Gabriel AE, Corona SAM, Geraldeli S, Grosgogeat B, Roulet JF, Tirapelli C. Clinical decision-making in anterior resin composite restorations: a multicenter evaluation. J Dent 2021; 113:103757. [PMID: 34333053 DOI: 10.1016/j.jdent.2021.103757] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/23/2021] [Accepted: 07/25/2021] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE This study investigated whether a sample of anterior resin composite restorations could be differently evaluated in different centers of evaluation by clinical and lay evaluators. METHODS Anterior resin composite restorations on high-quality intraoral digital photography were evaluated using FDI criteria (1-5 score) by pairs of clinical and lay evaluators in Brazil (BR), France (FR), Peru (PE), and the United States of America (USA). Scores were allocated as maintenance (1, 2, 3), repair (4) and replacement (5) when comparing clinical evaluators and, as acceptable (1, 2, 3) and unacceptable (4, 5) when comparing clinical vs. lay evaluators and lay vs. lay evaluators. The Chi-square test compared the frequencies of scores among the centers. RESULTS The frequencies of maintaining, repairing, or replacing anterior resin composite restorations given by clinical evaluators varied depending on the evaluation center. BR and PE showed the highest frequencies for repair and replacement, while FR and USA showed the highest frequencies for maintenance. The comparison of frequencies of anterior resin composite restorations accepted or unaccepted by the clinical vs lay evaluators in the same centers showed a significantly higher frequency of acceptable dental restorations coming from clinical evaluators. Comparison between lay evaluators from different centers showed significant higher frequency of unacceptable dental restorations by BR, compared to other centers. CONCLUSIONS In the evaluation of anterior resin composite restorations, the maintenance, repair, or replacement trends can vary among different centers. The unacceptable rate came more frequently from lay than from clinical evaluators. Lay evaluators from different centers differed significantly. CLINICAL SIGNIFICANCE Clinical and lay evaluators in distant evaluation centers can present different trends when assessing anterior resin composite restoration. Multicenter evaluations can help to understand such differences and it is important because clinical decision-making based on scientific evidence comes from clinical studies done in different research centers.
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Affiliation(s)
- Bruna Neves de Freitas
- Department of Dental Materials and Prosthodontics, University of São Paulo, Ribeirão Preto, Brazil.
| | | | | | - Pedro Bastos Cruvinel
- Department of Dental Materials and Prosthodontics, University of São Paulo, Ribeirão Preto, Brazil.
| | | | | | - Saulo Geraldeli
- Department of General Dentistry, East Carolina University, Greenville, USA.
| | - Brigitte Grosgogeat
- Faculté d'Odontologie, UMR CNRS 5615, Université de Lyon, Lyon, France; Pôle d'Odontologie, Hospices Civils de Lyon, Lyon, France.
| | - Jean-François Roulet
- Department of Restorative Dental Science, University of Florida, Gainesville, USA.
| | - Camila Tirapelli
- Department of Dental Materials and Prosthodontics, University of São Paulo, Ribeirão Preto, Brazil.
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de Oliveira RF, Abuna GF, Roulet JF, Geraldeli S, Sinhoreti MAC. Effect of an elastomeric urethane monomer on BisGMA-free resin composites containing different co-initiators. Clin Oral Investig 2021; 26:957-967. [PMID: 34286399 DOI: 10.1007/s00784-021-04078-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 07/12/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the mechanical, chemical, optical, and adhesive properties of BisGMA-free experimental resin composites containing Exothane-24-an elastomeric urethane monomer-and different co-initiators. MATERIALS AND METHODS A blend of urethane dimethacrylate (UDMA), extended dimethacrylate urethane (PEG 400), triethylene glycol dimethacrylate (TEGDMA), and camphorquinone was prepared. Two different co-initiators-dimethyl aminoethyl methacrylate (DMAEMA) or 4-N alcohol, N-dimethylamine phenylethyl (DMPOH)-were added to the blend. Exothane-24 monomer was added to the blend for each co-initiator and four groups were established as follows: DMAEMA; DMAEMA + Exothane; DMPOH; and DMPOH + Exothane. Specimens were photo-activated using a multi-wave LED light-curing unit (VALO; 954 mW/cm2 of irradiance). Mechanical (ultimate tensile strength, flexural strength, flexural modulus and hardness), chemical (degree of conversion, hardness reduction, water sorption and solubility), optical (color change), and adhesive (microtensile bond strength) properties were analyzed. Data were submitted to two-way ANOVA and Tukey's test (α = 0.05). RESULTS The resin composite containing DMPOH and Exothane-24 showed similar or superior performance to those of the other experimental composites for mechanical and chemical properties, except for flexural strength. It also showed less color change and greater micro-tensile bond strength. CONCLUSIONS Among the combinations tested, the BisGMA-free resin composite containing Exothane-24 combined with the DMPOH co-initiator showed the best mechanical, chemical, optical, and adhesive properties. Clinical relevance Exothane-24 monomer and DMPOH co-initiator could be useful in the formulation of BisGMA-free resin composites in order to minimize exposure to BPA.
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Affiliation(s)
- Robson Ferraz de Oliveira
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Gabriel Flores Abuna
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Jean-François Roulet
- Restorative Dental Science Department, Operative Dentistry Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Vila Rezende, Limeira Avenue, Areiao, Piracicaba, São Paulo, 90113414-903, Brazil.
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Sensi L, Winkler C, Geraldeli S. Accelerated Aging Effects on Color Stability of Potentially Color Adjusting Resin-based Composites. Oper Dent 2021; 46:188-196. [PMID: 34086953 DOI: 10.2341/20-099-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2020] [Indexed: 11/23/2022]
Abstract
The aim of this study was to compare the effects of accelerated aging on the overall color stability of potentially color adjusting commercial resin-based composite resins. Thirty specimens (10 mm diameter and 2.5 mm thick; n=6) were fabricated using five different materials: Estelite Omega, GC Kalore, Venus Pearl, Harmonize, and Omnichroma. Color measurements were taken for each sample using a spectrophotometer before and after submitting samples through the artificial aging process (Q-sun Xenon Test Chamber, 102 min light at 63°C black panel temperature; 18 min light and water spray per ASTM G155) for a total of 300 hours (12.5 days). The total color difference (ΔE*ab) was calculated using SpectraMagic NX software and analyzed using one-way analysis of variance and Tukey test. The results for color change (ΔE*ab) were statistically significant. Omnichroma and Venus Pearl presented superior color stability and the lowest overall color change, whereas GC Kalore and Harmonize presented significant color change that would be considered clinically unacceptable (ΔE*ab > 3.3).
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Bertolo MVL, Guarda MB, Fronza BM, Abuna GF, Vitti RP, Geraldeli S, Sinhoreti MAC. Electric current effects on bond strength, nanoleakage, degree of conversion and dentinal infiltration of adhesive systems. J Mech Behav Biomed Mater 2021; 119:104529. [PMID: 33910131 DOI: 10.1016/j.jmbbm.2021.104529] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 04/08/2021] [Accepted: 04/12/2021] [Indexed: 11/25/2022]
Abstract
To evaluate the effect of three adhesive systems applied under electric current on microtensile bond strength (μTBS) and degree of conversion (DC). Molar teeth were restored with the aid of three adhesive systems (Adper Single Bond 2-SB2; Clearfil SE Bond-CSE; and Single Bond Universal-SBU) under different electric current intensities (0 μA; 25 μA; and 50 μA). Composite resin blocks were built up in increments (2 mm) and sectioned into 1 × 1 mm beams. The μTBS was tested after 24 h and 1 y distilled water storages. Samples (n = 10) from 24 h to 1 y storages were immersed in a 50% ammoniacal silver nitrate solution and submitted to scanning electron microscopy. The silver nitrate in the hybrid layer was quantified (ImageJ software). The adhesive systems' dentinal infiltration was analyzed using confocal laser scanning microscopy. Fourier transform near infrared spectroscopy was used to measure the DC. The μTBS data were submitted to two-way ANOVA (time vs. electric current) and Bonferroni's test (α = 0.05). Quantitative nanoleakage data were submitted to two-way ANOVA (electric current vs. adhesive) and Bonferroni's test (α = 0.05). DC data were submitted to one-way ANOVA and Tukey's test (α = 0.05) for each adhesive system. The electric current statistically increased the μTBS for SB2 and CSE in 24 h storage, as well as for SB2, CSE and SBU in 1 y storage. No significant difference was observed between storage time for CSE and SBU. When compared to the control, electric currents (25 μA and 50 μA) showed significantly higher DC mean values for SB2 and SBU, and had no effect on CSE. The electric currents (25 μA and 50 μA) reduced the adhesive system's nanoleakage after 1-year storage, and improved the infiltration of SB2 and CSE. Both electric current intensities improved dentinal interface stability.
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Affiliation(s)
- Marcus Vinícius Loureiro Bertolo
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Maurício Bottene Guarda
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Bruna Marin Fronza
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - Gabriel Flores Abuna
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Rafael Pino Vitti
- Department of Prosthodontics, School of Dentistry, University of Taubaté, Taubaté, SP, Brazil
| | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
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Abuna G, Campos P, Hirashi N, Giannini M, Nikaido T, Tagami J, Coelho Sinhoreti MA, Geraldeli S. The ability of a nanobioglass-doped self-etching adhesive to re-mineralize and bond to artificially demineralized dentin. Dent Mater 2020; 37:120-130. [PMID: 33229040 DOI: 10.1016/j.dental.2020.10.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/17/2020] [Accepted: 10/24/2020] [Indexed: 02/03/2023]
Abstract
OBJECTIVE To a self-etch adhesive doped with nano-bioglass and evaluate its ability to bond and re-mineralize artificially demineralized dentin. METHODS Experimental Si, Ca, Na and PO4 based nanobioglass particles were synthesized, doped into experimental self-etch adhesives, and divided into 3 groups: Clearfi SE2 (CSE2), experimental (EXC), and experimental doped with 10% of nanobioglass (ExNB). The adhesives were applied onto the caries-affected dentin (chemically simulated), and evaluated after 24 h and 28 days of immersion in simulated body fluid. The remineralization process was assessed using optical coherence tomography, nanoindentation, in situ zymography, transmission electron microscopy, confocal laser scanning microscopy, μ-tensile bond strength, and pH buffer. RESULTS The addition of nanobioglass particles into the experimental self-etch adhesives altered the μTBS in the short-term jeopardizing dentin bonding properties, when compared to the non-doped self-etch adhesive. The remineralization recovered the nanohardness, and volume lost by caries lesion (p = 0.02). Moreover, reduced the enzymatic activity (p = 1.24E-4) and formed new crystals within of the hybrid layer. CONCLUSION The use of nanobioglass was efficient to recover the properties of a caries affected dentin. Furthermore, the adhesive properties were not hampered and the probabilistic reliability increased.
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Affiliation(s)
- Gabriel Abuna
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil; Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan; General Dentistry Department, Division of Biomedical Materials, East Carolina University School of Dental Medicine, Greenville, NC, USA.
| | - Paulo Campos
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Noriko Hirashi
- Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan
| | - Marcelo Giannini
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Toru Nikaido
- Department of Operative Dentistry, Division of Oral Funtional Science and Rehabiltation, School of Dentistry, Asahi University, Gifu, Japan
| | - Junji Tagami
- Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan
| | - Mario Alexandre Coelho Sinhoreti
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Saulo Geraldeli
- General Dentistry Department, Division of Biomedical Materials, East Carolina University School of Dental Medicine, Greenville, NC, USA
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Nascimento MM, Ribeiro AP, Delgado AJ, Cassiano L, Caraballo M, Roulet JF, Geraldeli S, Pereira P, Ottenga ME, Dilbone DA. Temporary Tooth Separation to Improve Assessment of Approximal Caries Lesions: A School-Based Study. Oper Dent 2020; 45:581-588. [PMID: 32516382 DOI: 10.2341/19-221-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2019] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Radiographic lesion depth should not be used as the single determinant of the restorative threshold for clinically inaccessible approximal caries lesions. Temporary tooth separation is a feasible and effective diagnostic aid for assessment and appropriate management of approximal lesions. SUMMARY In the era of tooth-preserving dentistry, the decision to restore approximal caries lesions must be based on the accurate assessment of tooth cavitation, as the accumulation of oral biofilms in these areas encourages lesion progression. However, lesions radiographically into dentin remain the main threshold criterion for restoring approximal lesions even though most of these lesions may not be cavitated. A school-based clinical protocol for temporary tooth separation (TTS) was developed to improve visual-tactile assessment and management of clinically inaccessible approximal lesions. TTS data retrieved from electronic health records were used to correlate radiographic lesion depth and surface cavitation status with lesion location and the patient's caries risk and to evaluate the effectiveness of TTS as a diagnostic aid for approximal lesions. Of the 206 lesions assessed, 66.5% (n=137) were located in the maxillary arch, 56.6% (n=116) in distal surfaces, 61.3% (n=114) in premolars, and 21.5% (n=40) in molars. After tooth separation, 79.6% (n=164) of the lesions were diagnosed as noncavitated, including 90% (n=66) of the lesions radiographically at the inner half of enamel (E2) and 66% (n=49) of those at the outer-third of dentin (D1). Logistic regression analysis using E2 and D1 lesions showed no significant association between lesion depth or cavitation status with lesion location and caries risk. TTS is a feasible and effective diagnostic aid for the assessment and appropriate management of approximal caries lesions. There is a need to reevaluate the use of radiographic lesion depth as the single determinant of the restorative threshold for clinically inaccessible approximal lesions.
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de Freitas Chaves LV, de Sousa Lima RX, de Azevedo Silva LJ, Bruschi Alonso RC, Geraldeli S, Dutra Borges BC. Bonding performance and mechanical properties of flowable bulk-fill and traditional composites in high c-factor cavity models. J Conserv Dent 2020; 23:36-41. [PMID: 33223639 PMCID: PMC7657427 DOI: 10.4103/jcd.jcd_58_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Revised: 07/21/2019] [Accepted: 11/26/2019] [Indexed: 11/11/2022] Open
Abstract
Objectives: The aim of this study is to evaluate bond strength (BS), shrinkage stress (SS), flexural strength (FS), and elastic modulus (E) of three flowable bulk fill in comparison with conventional composites. Materials and Methods: Three bulk fill (Filtek Bulk Fill Flow, Surefil SDR, X-tra Base) and three conventional composites (Filtek Z250 XT, Grandioso, Dentsply TPH3) were used. For BS, conical cavities (n = 10) were prepared in bovine dentine and restored with materials and were analyzed through push-out test in a universal testing machine (UTM). For FS/EM, 60 (n = 10) bar specimens (7 mm × 2 mm × 1 mm) were prepared and evaluated with a UTM. SS was measured in UTM coupled to an extensometer (n = 5). The data were statistically evaluated using one-way ANOVA/Tukey tests (P < 0.05). Results: Conventional composites showed higher E when compared to bulk-fill composites. Regarding FS, they showed similar results, except for (XBF) Xtra Bulk Fill that was inferior. SS and BS of bulk-fill composites were significantly lower and higher than conventional composites, respectively, except for XBF, which showed similar BS to conventional ones. Conclusions: Flowable bulk-fill composites, except XBF, showed higher BS, lower SS, similar FS, and lower E when compared to conventional ones.
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Affiliation(s)
| | - Rodolfo Xavier de Sousa Lima
- Department of Dentistry, Federal University of Rio Grande do Norte, University of Rio Grande do Norte, Natal, RN, Brazil
| | - Lucas José de Azevedo Silva
- Department of Dentistry, Federal University of Rio Grande do Norte, University of Rio Grande do Norte, Natal, RN, Brazil
| | - Roberta Caroline Bruschi Alonso
- Technology and Research Center, University of Mogi das Cruzes, RN, Brazil.,Department of Dentistry, Metropolitan University of Santos, SP, Brazil
| | - Saulo Geraldeli
- Department of Operative Dentistry, University of Florida, Gainesville, FL, USA
| | - Boniek Castillo Dutra Borges
- Department of Dentistry, Federal University of Rio Grande do Norte, University of Rio Grande do Norte, Natal, RN, Brazil
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Kalagi S, Feitosa SA, Münchow EA, Martins VM, Karczewski AE, Cook NB, Diefenderfer K, Eckert GJ, Geraldeli S, Bottino MC. Chlorhexidine-modified nanotubes and their effects on the polymerization and bonding performance of a dental adhesive. Dent Mater 2020; 36:687-697. [PMID: 32241557 PMCID: PMC7224330 DOI: 10.1016/j.dental.2020.03.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/12/2020] [Accepted: 03/12/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVES The purpose of this study was to synthesize chlorhexidine (CHX)-encapsulated aluminosilicate clay nanotubes (Halloysite®, HNTs) and to incorporate them into the primer/adhesive components of an etch-and-rinse adhesive system (SBMP; Scotchbond Multipurpose, 3M ESPE) and to test their effects on degree of conversion, viscosity, immediate and long-term bonding to dentin. METHODS CHX-modified HNTs were synthesized using 10% or 20% CHX solutions. The primer and the adhesive components of SBMP were incorporated with 15wt.% of the CHX-encapsulated HNTs. Degree of conversion (DC) and viscosity analyses were performed to characterize the modified primers/adhesives. For bond strength testing, acid-etched dentin was treated with one of the following: SBMP (control); 0.2%CHX solution before SBMP; CHX-modified primers+SBMP adhesive; SBMP primer+CHX-modified adhesives; and SBMP primer+CHX-free HNT-modified adhesive. The microtensile bond strength test was performed after immediate (24h) and long-term (6 months) of water storage. Data were analyzed using ANOVA and Tukey (α=5%) and the Weibull analysis. RESULTS DC was greater for the CHX-free HNT-modified adhesive, whereas the other experimental adhesives showed similar DC as compared with the control. Primers were less viscous than the adhesives, without significant differences within the respective materials. At 24h, all groups showed similar bonding performance and structural reliability; whereas at the 6-month period, groups treated with the 0.2%CHX solution prior bonding or with the CHX-modified primers resulted in greater bond strength than the control and superior reliability. SIGNIFICANCE The modification of a primer or adhesive with CHX-encapsulated HNTs was an advantageous approach that did not impair the polymerization, viscosity and bonding performance of the materials, showing a promising long-term effect on resin-dentin bonds.
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Affiliation(s)
- Sara Kalagi
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA; Department of Restorative Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Sabrina A Feitosa
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - Eliseu A Münchow
- Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS 90035-003, Brazil
| | - Victor M Martins
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - Ashley E Karczewski
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - N Blaine Cook
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA
| | - Kim Diefenderfer
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA
| | - George J Eckert
- Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Saulo Geraldeli
- Department of General Dentistry, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
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Castellanos M, Delgado AJ, Sinhoreti MAC, de Oliveira DCRS, Abdulhameed N, Geraldeli S, Roulet JF. Effect of Thickness of Ceramic Veneers on Color Stability and Bond Strength of Resin Luting Cements Containing Alternative Photoinitiators. J Adhes Dent 2019; 21:67-76. [PMID: 30799473 DOI: 10.3290/j.jad.a41997] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the light transmittance of ceramic veneers of different thicknesses and verify their influence on the degree of conversion, color stability, and dentin bond strength of light-curing resin cements containing different photoinitiator systems. MATERIALS AND METHODS Experimental resin cements were fabricated containing camphorquinone and amine (CQ-amine), TPO, Ivocerin (IVO), or TPO and Ivocerin (TPO-IVO). All photoinitiators were characterized by UV-Vis spectrophotometry. Disk-shaped lithium disilicate ceramic specimens that were 0.4, 0.7, and 1.5 mm in thickness were prepared using IPS e.max Press (Ivoclar Vivadent, shade LT/A2). Light transmittance through each specimen was measured using spectrophotometry. Specimens of each cement (n = 10) were made in a custom-designed mold and were light cured through each glass-ceramic disk using a multiwave LED (Bluephase G2, Ivoclar Vivadent). CS was evaluated using spectrophotometry before and after artificial aging with UV light. DC was evaluated using FTIR-spectroscopy. Dentin µSBS was evaluated using 0.75-mm-thick specimens that were light cured under the same protocol (n = 10). All data were submitted to two-way ANOVA and Tukey's test (α = 0.05; β = 0.2). RESULTS CQ-amine cements showed the highest color changes (p < 0.05) due to increased yellowing when compared to the amine-free cements (p < 0.05). However, all cements showed a significant color change after aging when cured through ceramics up to 1.5 mm thick (p < 0.05). The TPO-IVO cement showed the highest DC and the IVO cement showed a similar DC when compared to the CQ-amine cement. The TPO cement presented the lowest DC (p = 0.0377). No differences in mean dentin µSBS were found among the cements, except for the TPO cement, which presented a lower mean dentin µSBS (p = 0.0277). CONCLUSION Amine-free cements containing Ivocerin and TPO seem to be a better alternative to CQ-amine cements, while not reducing either DC or dentin µSBS of amine-free cements. However, CQ-amine and amine-free cements still seem to change color over time.
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Tomaselli LDO, Oliveira DCRSD, Favarão J, Silva AFD, Pires-de-Souza FDCP, Geraldeli S, Sinhoreti MAC. Influence of Pre-Heating Regular Resin Composites and Flowable Composites on Luting Ceramic Veneers with Different Thicknesses. Braz Dent J 2019; 30:459-466. [PMID: 31596330 DOI: 10.1590/0103-6440201902513] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 06/04/2019] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate of pre-heating, filler contents and ceramic thickness on film thickness, microshear bond strength, degree of conversion and color change on ceramic veneers. Two experimental composites were prepared (Bis-GMA/UDMA/BisEMA/ TEGDMA), with different amounts of filler (65% or 50%wt) simulating a conventional and a flowable composite. The flowable (F) was used at room temperature and, the conventional either at room temperature (C) or pre-heated (CPH). Disk-shaped ceramics with different thickness (0.4 mm, 0.8 mm, 1.5 mm) were prepared. The film thickness was evaluated according to the ISO 4049 (n=10). The microshear bond strength (n=10) was evaluated in enamel using tubing specimens light-cured through the ceramic veneer. The degree of conversion was evaluated using Raman spectroscopy. The color change of the ceramic restorations (n=10) was evaluated by spectrophotometry. The results were submitted to 2-way ANOVA and Tukey's post hoc test (a=5%). For the film thickness 1-way ANOVA was used (a=5%). The C presented the thicker film thickness; the CPH produced a similar film thickness in comparison to the F. All composites showed similar microshear bond strength. The degree of conversion of the F was higher than the C and CPH. The degree of conversion of the composites photo-activated through a 0.4 mm was higher than the composites photo-activated through thicker ceramics. The C showed the highest color change, while the CPH showed similar color change to the F. In conclusion, pre-heated conventional composites seem to be a potential alternative to lute ceramic veneers such as the flowable composites.
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Affiliation(s)
- Lucas de Oliveira Tomaselli
- Department of Restorative Dentistry, Dental Materials Division, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | | | - Jamille Favarão
- Department of Restorative Dentistry, Dental Materials Division, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | - Ariel Farias da Silva
- Department of Dentistry, Health and Biological Science Center, UFMT - Universidade Federal de Mato Grosso, Campo Grande, MS, Brazil
| | | | - Saulo Geraldeli
- Division of Biomedical Materials, School of Dental Medicine, East Caroline University, Greenville, NC, USA
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Feitosa SA, Palasuk J, Geraldeli S, Windsor LJ, Bottino MC. Physicochemical and biological properties of novel chlorhexidine-loaded nanotube-modified dentin adhesive. J Biomed Mater Res B Appl Biomater 2019; 107:868-875. [PMID: 30199597 PMCID: PMC6408277 DOI: 10.1002/jbm.b.34183] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Revised: 05/21/2018] [Accepted: 05/28/2018] [Indexed: 11/09/2022]
Abstract
A commercially available three-step (etch-and-rinse) adhesive was modified by adding chlorhexidine (CHX)-loaded nanotubes (Halloysite®, HNT) at two concentrations (CHX10% and CHX20%). The experimental groups were: SBMP (unmodified adhesive, control), HNT (SBMP modified with HNT), CHX10 (SBMP modified with HNT loaded with CHX10%), and CHX20 (SBMP modified with HNT loaded with CHX20%). Changes in the degree of conversion (DC%), Knoop hardness (KHN), water sorption (WS), solubility (SL), antimicrobial activity, cytotoxicity, and anti-matrix metalloproteinase [MMP-1] activity (collagenase-I) were evaluated. In regards to DC%, two-way ANOVA followed by Tukey's post-hoc test revealed that only the factor "adhesive" was statistically significant (p < 0.05). No significant differences were detected in DC% when 20 s light-curing was used (p > 0.05). For Knoop microhardness, one-way ANOVA followed by the Tukey's test showed statistically significant differences when comparing HNT (20.82 ± 1.65) and CHX20% (21.71 ± 2.83) with the SBMP and CHX10% groups. All adhesives presented similar WS and cytocompatibility. The CHX-loaded nanotube-modified adhesive released enough CHX to inhibit the growth of S. mutans and L. casei. Adhesive eluates were not able to effectively inhibit MMP-1 activity. The evaluation of higher CHX concentrations might be necessary to provide an effective and predictable MMP inhibition. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res B Part B, 2018. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 107B: 868-875, 2019.
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Affiliation(s)
- Sabrina A. Feitosa
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Jadesada Palasuk
- Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, 65000, Thailand
| | - Saulo Geraldeli
- Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, 32610, USA
| | - L. Jack Windsor
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Marco C. Bottino
- Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, 48109, USA
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Silame FDJ, Geraldeli GDP, Sinhoreti MAC, Pires-de-Souza FDCP, Roulet JF, Geraldeli S. Dentin µTBS and Hardness of Bulk-fill and Conventional Composites Placed in a Box-shaped Cavity Preparation. J Adhes Dent 2019; 19:395-400. [PMID: 29152619 DOI: 10.3290/j.jad.a39276] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To compare the dentin microtensile bond strength (µTBS) and the Knoop hardness of bulk-fill and conventional restorative composites in box-shaped Class I cavities using different insertion techniques. MATERIALS AND METHODS Forty box-shaped Class I preparatons 4 mm deep were performed in the pulp chamber of sound human third molars. The restorations were made using either a conventional microhybrid (Z250, 3M ESPE) or bulk-fill (Tetric EvoCeram Bulk-fill, TCBF) composite using two incremental thicknesses: 2 mm or 4 mm (n = 10). After 24-h water storage, the restorations were sectioned. The first slice (0.7 mm thick) taken from a proximal surface was submitted to the Knoop hardness (KHN) test at five depths from the occlusal cavosurface to the pulpal line angle. Sticks were fabricated from the remaining sections and tested for dentin microtensile bond strength (µTBS). Means were analyzed using two-way ANOVA and Tukey's test (p < 0.05). RESULTS Higher (p < 0.05) µTBS resulted when both composites were restored with 2-mm increments, with no significant difference between materials (p > 0.05). Higher (p < 0.05) KHN means were found when 2-mm increments were used, with no significant differences (p > 0.05) between the materials. When the teeth were restored with one bulk increment (4 mm), the deeper layers presented lower KHN means (p < 0.05) starting at 2 mm for Z250 and 3 mm for TCBF. CONCLUSION The 2-mm increment restorations in box-shaped cavities yielded higher µTBS and microhardness for conventional and bulk-fill composites.
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Delgado AJ, Castellanos EM, Sinhoreti M, Oliveira DC, Abdulhameed N, Geraldeli S, Sulaiman TA, Roulet JF. The Use of Different Photoinitiator Systems in Photopolymerizing Resin Cements Through Ceramic Veneers. Oper Dent 2018; 44:396-404. [PMID: 30517069 DOI: 10.2341/17-263-l] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the effect of different photoinitiator systems on photopolymerizing resin cements through ceramic veneers with different thickness on microshear bond strength (μSBS), flexural strength (FS), and ultimate tensile strength (UTS) and verify the light attenuation through these ceramic veneers. METHODS AND MATERIALS Four photopolymerizing experimental resin cements were produced with the same resin matrix and associated with four different photoinitiator systems: camphorquinone (CQ), diphenyl(2,4,6-trimethylbenzoyl)phosphine oxide (TPO), Ivocerin, and TPO + Ivocerin. Eighty disc-shaped ceramic veneers (IPS Empress Esthetic, Ivoclar Vivadent) were fabricated (10-mm diameter) in two different thicknesses: 0.7 and 1.5 mm. A previously characterized multiwave LED (Bluephase G2, Ivoclar Vivadent) was standardized for 40 seconds of photoactivation. Light transmittance through each ceramic veneer thickness (n=5) was measured using a spectrometer (USB 2000, Ocean Optics). The μSBS of each resin cement (n=15) to the ceramic veneer was evaluated using 0.5-mm cylinders with 0.7-mm diameters photoactivated through the different ceramic veneer thicknesses. Samples for FS and UTS tests were made either with or without ceramics veneers (0.7 and 1.5 mm) fixed to the light-curing tip. Data were submitted to two-way analysis of variance and the Tukey test (α=0.05). RESULTS The multiwave LED emitted higher irradiance into the blue wavelength spectra than into the violet wavelength spectra (p=0.0001). Light transmittance through the ceramic veneers was reduced in a systematic manner based on thickness regardless of the wavelength spectra emitted from the multiwave LED (p=0.00037). The μSBS was reduced in a systematic manner based on thickness regardless of the photoinitiator system (p<0.05). However, resin cements with CQ and Ivocerin showed higher bond strength values in comparison to the resin cement with TPO regardless of the ceramic veneer thickness (p<0.05). The FS and UTS means decreased (p<0.05) with the interposition of 0.7- and 1.5-mm ceramic veneers for all resin cements. The resin cement containing only TPO showed the lowest FS and UTS means (p<0.05) for all ceramic veneers. CONCLUSIONS The thickness of the ceramic veneers reduced the irradiance of the multiwave LED in all wavelength spectra. Ivocerin alone or associated with TPO showed to be an effective alternative photoinitiator to substitute for CQ. The resin cement containing only TPO had lower bond strength values in comparison to resin cements with CQ, Ivocerin, and Ivocerin + TPO.
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Sinhoreti MAC, Soares EF, Abuna GF, Correr L, Roulet JF, Geraldeli S. Microtensile Bond Strength of Adhesive Systems in Different Dentin Regions on a Class II Cavity Configuration. Braz Dent J 2018; 28:474-481. [PMID: 29160400 DOI: 10.1590/0103-6440201701541] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2017] [Accepted: 04/24/2017] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate microtensile bond strength (µTBS) of self-etch and etch-and-rinse adhesives systems compared in different dentin regions (central-CD or proximal-PD) in a class II cavity configuration. A class II (mesial-oclusal-distal) cavity configuration was simulated on 20 extracted human third-molars (4 mm wide/3 mm deep). Etch-and-rinse adhesive (Scotchbond Multi Purpose, n=5, SBMP and Optibond FL, n=5, OPFL) and self-etch adhesives (Clearfil SE Bond, n=5, CSE and Optibond XTR, n=5, OPXTR) were applied. Class II restorations were performed by incremental technique and photo-activated (Bluephase/G2). Samples were sectioned to beam shape (1 mm² cross-section), placed on Geraldeli's device for µTBS test (0.5 mm/min cross-head speed). Fracture patterns were analyzed on stereomicroscope and classified as cohesive-resin, adhesive, mixed/resin or mixed/dentin. Samples (n=4) were prepared for scanning electron microscope observation. Data were submitted to one-way ANOVA with Split-Plot arrangement and Tukey's test (α=0.05). There were no statistically significant differences among SBMP, OPFL, CSE and OPXTR on CD (p>0.05). However, on PD for SBMP and OPFL, µTBS values were significantly lower compared to CSE and OPXTR (p<0.05). In all groups, mixed failure pattern was more frequently observed, except for SBMP/CD (adhesive). In class II type cavity configuration, PD location negatively influenced bond strength of etch-and-rinse adhesive systems. Opposite to self-etching adhesives, which presented higher bond strength values compared to etch-and-rinse adhesives in PD.
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Affiliation(s)
- Mário Alexandre Coelho Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | - Eveline Freitas Soares
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | - Gabriel Flores Abuna
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | - Lourenço Correr
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Universidade de Campinas, Piracicaba, SP, Brazil
| | - Jean-François Roulet
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA
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Palasuk J, Windsor LJ, Platt JA, Lvov Y, Geraldeli S, Bottino MC. Doxycycline-loaded nanotube-modified adhesives inhibit MMP in a dose-dependent fashion. Clin Oral Investig 2018; 22:1243-1252. [PMID: 28965247 PMCID: PMC5867196 DOI: 10.1007/s00784-017-2215-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 09/20/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES This article evaluated the drug loading, release kinetics, and matrix metalloproteinase (MMP) inhibition of doxycycline (DOX) released from DOX-loaded nanotube-modified adhesives. DOX was chosen as the model drug, since it is the only MMP inhibitor approved by the U.S. Food and Drug Administration. MATERIALS AND METHODS Drug loading into the nanotubes was accomplished using DOX solution at distinct concentrations. Increased concentrations of DOX significantly improved the amount of loaded DOX. The modified adhesives were fabricated by incorporating DOX-loaded nanotubes into the adhesive resin of a commercial product. The degree of conversion (DC), Knoop microhardness, DOX release kinetics, antimicrobial, cytocompatibility, and anti-MMP activity of the modified adhesives were investigated. RESULTS Incorporation of DOX-loaded nanotubes did not compromise DC, Knoop microhardness, or cell compatibility. Higher concentrations of DOX led to an increase in DOX release in a concentration-dependent manner from the modified adhesives. DOX released from the modified adhesives did not inhibit the growth of caries-related bacteria, but more importantly, it did inhibit MMP-1 activity. CONCLUSIONS The loading of DOX into the nanotube-modified adhesives did not compromise the physicochemical properties of the adhesives and the released levels of DOX were able to inhibit MMP activity without cytotoxicity. CLINICAL SIGNIFICANCE Doxycycline released from the nanotube-modified adhesives inhibited MMP activity in a concentration-dependent fashion. Therefore, the proposed nanotube-modified adhesive may hold clinical potential as a strategy to preserve resin/dentin bond stability.
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Affiliation(s)
- Jadesada Palasuk
- Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, 65000, Thailand
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - L Jack Windsor
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Jeffrey A Platt
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Yuri Lvov
- Institute for Micromanufacturing, Louisiana Tech University, Ruston, LA, 71272, USA
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, 32610, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, 1011 N. University Avenue, Ann Arbor, MI, 48109, USA.
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Sinhoreti MAC, Abuna GF, Soares EF, Feitosa VP, Sauro S, Roulet JF, Geraldeli S. Avaliação da União à Dentina de Sistemas Adesivos Experimentais Multi-Modo Contendo Análogos Biomiméticos e Fosfatos de Cálcio Bioativos. J Health Scie 2018. [DOI: 10.17921/2447-8938.2017v19n5p44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
O objetivo foi avaliar a resistência de união (µTBS) e nanoinfiltração (NI) de um sistema adesivo experimental multi-modo contendo análogos biomiméticos e fosfatos de cálcio bioativos. Foram utilizados 60 terceiros molares humanos. A composição base dos primers foi (% em peso): 15 % GDMA-P, 10 % HEMA, 15 % TEGDMA, 10 % UDMA, 10 % água e 40 % etanol. Nos primers, foram acrescentados ou não os análogos: 5 % ácido poliacrílico e 10 % ácido polivinilfosfônico. O adesivo foi composto por: 35% UDMA, 42% BisEMA, 10% TEGDMA, 10% GDMA-P e 3% fotoiniciadores. Nesse adesivo foram acrescentados os fosfatos bioativos: beta tricálcio fosfato e monocalciofosfato monohidrato (20% em peso da mistura). O teste de μTBS foi feito em máquina de ensaios OM100 (Odeme). Após, o tipo de fratura foi analisado em lupa estereoscópica. Um palito de cada dente de cada grupo foi usado para a análise de NI, em MEV. Metade dos dentes foram utilizados para a técnica úmida e a outra para a técnica auto- condicionante e testados em 24hs ou após 4 meses de armazenagem em SSFC. Os dados de μTBS foram submetidos a ANOVA 3-fatores e as médias ao teste de Tukey (5%). Não houve melhora da μTBS após a inclusão de fosfatos e/ou análogos, porém nesses grupos, houve a manutenção dos valores de μTBS após 4 meses de armazenagem, nas duas técnicas de aplicação. Após 4 meses, houve presença da prata em todos os grupos, porém nos grupos contendo análogos, a intensidade da NI foi menor. Os adesivos experimentais multi-modo contendo análogos no primer se mostraram promissores em preservar a união dentina-compósito da degradação em ambiente úmidoPalavras-chave: Adesivos Dentinários. Dentina. Fosfatos de Cálcio.
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Sinhoreti M, De Oliveira R, De Oliveira D, Rocha M, Roulet J, Geraldeli S. Mechanical, chemical and bond strength properties of bisphenol-A free composites. Dent Mater 2018. [DOI: 10.1016/j.dental.2018.08.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Grohmann CVS, Soares EF, Souza-Junior EJC, Brandt WC, Puppin-Rontani RM, Geraldeli S, Sinhoreti MAC. Influence of Different Concentration and Ratio of a Photoinitiator System on the Properties of Experimental Resin Composites. Braz Dent J 2017; 28:726-730. [DOI: 10.1590/0103-6440201701372] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 09/11/2017] [Indexed: 11/21/2022] Open
Abstract
Abstract The aim in this study was to evaluate the influence of different ratio of camphorquinone/tertiary amine concentration on the flexural strength (FS), elastic modulus (EM), degree of conversion (DC), yellowing (YL), water sorption (WS) and water solubility (WSL) of experimental composites. Thus, acrylate blends were prepared with different camphorquinone (CQ) and amine (DABE) concentrations and ratios by weight: (CQ/DABE%): 0.4/0.4% (C1), 0.4/0.8% (C2), 0.6/0.6% (C3), 0.6/1.2% (C4), 0.8/0.8% (C5), 0.8/1.6% (C6), 1.0/1.0% (C7), 1.0/2.0% (C8), 1.5/1.5% (C9), 1.5/3.0% (C10). For the FS and EM, rectangular specimens (7x2x1 mm, n=10) were photo-activated by single-peak LED for 20 s and tested at Instron (0.5 mm/min). Then, the same specimens were evaluated by FTIR for DC measurement. For YL, disks (5x2 mm, n=10) were prepared, light-cured for 20 s and evaluated in spectrophotometer using the b aspect of the CIEL*a*b* system. For WS and WSL, the volume of the samples was calculated (mm³). For WS and WSL, composites disks (5x0.5 mm, n=5) were prepared. After desiccation, the specimens were stored in distilled water for 7 days and again desiccated, in order to measure the WS and WSL. Data were submitted to one-way ANOVA and Tukey’s test (5%). The groups C8, C9 and C10 showed higher DC, EM and YL means, compared to other composites. Therefore, the FS and WS values were similar among all groups. Also, C1, C2 and C3 presented higher WSL in 7 days, compared to other composites. In general, higher concentrations of camphorquinone promoted higher physical-mechanical properties; however, inducing higher yellowing effect for the experimental composites
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de Morais RC, Silveira RE, Chinelatti M, Geraldeli S, de Carvalho Panzeri Pires-de-Souza F. Bond strength of adhesive systems to sound and demineralized dentin treated with bioactive glass ceramic suspension. Clin Oral Investig 2017; 22:1923-1931. [PMID: 29185144 DOI: 10.1007/s00784-017-2283-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 11/20/2017] [Indexed: 01/02/2023]
Abstract
OBJECTIVE The objective of this study was to evaluate the effect of a Biosilicate®, associated with dentin adhesive system, on microtensile bond strength (μTBS) to sound and demineralized dentin. MATERIALS AND METHODS Eighty sound-extracted molars had their middle occlusal dentin exposed. In forty teeth, dentin was artificially demineralized (pH cycling). Sound and demineralized dentin teeth were separated into four groups (n = 10), according to the substrate treatment before restoration: Group 1-total-etching adhesive Adper TM Single bond 2 (ASB) + Biosilicate®, Group 2-ASB (without Biosilicate®), Group 3-AdheSE self-etching adhesive system (AdSE) + Biosilicate®, and Group 4-AdSE (without Biosilicate®). Each tooth was restored with a hybrid composite and stored in water at 37 °C for 6 months. After water aging, teeth were cut in sticks (≈ 1 mm2 cross-sectional area) and all samples were submitted to μTBS test. The fracture modes of the samples were analyzed by stereomicroscopy. The representatively fractured samples were observed by scanning electron microscopy. Representative samples of each group were analyzed on energy dispersive X-ray spectrometry (EDX). The μTBS and Ca-P ratio values were analyzed by 2-way ANOVA, Bonferroni, and Tukey test, respectively, p < .05. RESULTS ASB + Biosilicate® presented the highest μTBS values (p < .05), and lowest μTBS values (p < .05) were found in AdSE Group. There was no statistical difference (p < .05) on μTBS when substrates were compared, except for Group 2. The fracture pattern analysis showed prevalence of adhesive fractures in all groups. CONCLUSION Biosilicate® enhanced bond strength of self-etching and etch-and-rinse adhesives to sound and demineralized dentin. CLINICAL RELEVANCE Bioactive glass ceramic suspension could be recommended to be used to improve the dentin bond strengths of the total-etching and self-etching adhesives after acid-etching and priming.
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Affiliation(s)
- Renata Costa de Morais
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. do Café s/n, Bairro Monte Alegre, CEP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Renata Espíndola Silveira
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. do Café s/n, Bairro Monte Alegre, CEP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Michelle Chinelatti
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. do Café s/n, Bairro Monte Alegre, CEP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, 32611, USA
| | - Fernanda de Carvalho Panzeri Pires-de-Souza
- Department of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo (FORP-USP), Av. do Café s/n, Bairro Monte Alegre, CEP, Ribeirão Preto, SP, 14040-904, Brazil.
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Sousa-Lima RX, Silva LJA, Chaves LVF, Geraldeli S, Alonso RCB, Borges BCD. Extensive Assessment of the Physical, Mechanical, and Adhesion Behavior of a Low-viscosity Bulk Fill Composite and a Traditional Resin Composite in Tooth Cavities. Oper Dent 2017; 42:E159-E166. [DOI: 10.2341/16-299-l] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
To compare the degree of conversion (DC), depth of polymerization (DP), shrinkage stress (SS), flexural strength (FS), elastic modulus (EM), and bond strength (BS) of a low-viscosity bulk fill resin composite and a paste-like traditional composite.
Methods:
Tetric Evo-Flow Bulk Fill (TBF) and Empress Direct (ED; Ivoclar Vivadent) composites were used. DC (%) and FS/EM (MPa/GPa) were evaluated in bar specimens (7×2×1 mm; n=10) using Fourier-transform infrared spectroscopy and a three-point bending test in a universal testing machine (UTM), respectively. For DP and BS tests, conical cavities (n=10) were prepared in bovine dentin and restored with the composites. DP was analyzed by calculating the bottom-to-top surface microhardness ratio (BTHR), and BS (MPa) was determined by push-out testing in the UTM. SS (MPa) was measured for one increment of TBF and two increments of ED in a UTM attached to an extensometer (n=5). Data were analyzed using Student t-test and analysis of variance (α=0.05).
Results:
TBF presented higher values than ED for DC (85.7±6.6% vs 54.2±4.9%) and BS (0.95±0.70 MPa vs 0.35±0.15 MPa). TBF values were lower than ED values for FS (76.6±16.8 MPa vs 144.9±24.1 MPa) and maximum SS (0.77±0.07 MPa vs 1.07±0.15 MPa). TBF and ED values were similar for BTHR (0.83±0.16 vs 0.84±0.08) and EM (11.5±2.8 GPa vs 12.5±2.6 GPa).
Conclusions:
The physical and mechanical properties of TBF, a bulk fill resin composite, were similar or superior to those of ED, a conventional composite, with the exception of FS measurements.
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Geraldeli S, Soares EF, Alvarez AJ, Farivar T, Shields RC, Sinhoreti MAC, Nascimento MM. A new arginine-based dental adhesive system: formulation, mechanical and anti-caries properties. J Dent 2017; 63:72-80. [PMID: 28587978 DOI: 10.1016/j.jdent.2017.05.024] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 05/27/2017] [Accepted: 05/30/2017] [Indexed: 10/19/2022] Open
Abstract
Secondary caries at the margins of composite restorations has been attributed to adhesive failure and consequent accumulation of cariogenic biofilms. OBJECTIVES To develop and evaluate an etch-and-rinse adhesive system containing arginine for sustainable release and recharge without affecting its mechanical properties. Arginine metabolism by oral bacteria generates ammonia, which neutralizes glycolytic acids and creates a neutral environmental pH that is less favorable to the growth of caries pathogens, thus reducing the caries risk at the tooth-composite interface. METHODS Experimental adhesives were formulated with methacrylate monomers and arginine at 5%, 7%, and 10% or no arginine (control). Adhesives were tested for: (i) mechanical properties of true stress (FS and UTS), modulus of elasticity (E), degree of conversion (DC), Knoop hardness number (KHN) and dentin microtensile bond strength (μ-TBS), (ii) arginine release and recharge, and (iii) antibacterial activities. Data was analyzed by t-test, one-way ANOVA and Tukey's tests. RESULTS FS and UTS results showed no statistically significant differences between the 7% arginine-adhesive and control, while the results for E, DC, KHN and μ-TBS showed no difference among all groups. The 7% arginine-adhesive showed a high release rate of arginine (75.0μmol/cm2) at 2h, and a more sustainable, controlled release rate (up to 0.2μmol/cm2) at 30days. CONCLUSIONS Incorporation of 7% arginine did not affect the physical and mechanical properties of the adhesive. Arginine was released from the adhesive at a rate and concentration that exhibited antibacterial effects, regardless of shifts in biofilm conditions such as sugar availability and pH. CLINICAL SIGNIFICANCE Secondary caries is recognized as the main reason for failure of dental restorations. The development of an arginine-based adhesive system has the potential to dramatically reduce the incidence and severity of secondary caries in adhesive restorations in a very economical fashion.
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Affiliation(s)
- Saulo Geraldeli
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Eveline F Soares
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Andres J Alvarez
- College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Tanaz Farivar
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Robert C Shields
- Department of Oral Biology, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Mario A C Sinhoreti
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
| | - Marcelle M Nascimento
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA.
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Abstract
Abfraction is a type of noncarious cervical lesion (NCCL) characterized by loss of tooth tissues with different clinical appearances. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur as a result of normal and abnormal tooth function and may also be accompanied by pathological wear, such as abrasion and erosion. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. In an era of personalized dentistry, patient risk factors for NCCLs must be identified and addressed before any treatment is performed. Marked variations exist in dental practice concerning the diagnosis and management of these lesions. The lack of understanding about the prognosis of these lesions with or without intervention may be a major contributor to variations in dentists’ management decisions. This review focuses on the current knowledge and available treatment strategies for abfraction lesions. By recognizing that progressive changes in the cervical area of the tooth are part of a physiologically dynamic process that occurs with aging, premature and unnecessary intervention can be avoided. In cases of asymptomatic teeth, where tooth vitality and function are not compromised, abfraction lesions should be monitored for at least 6 months before any invasive procedure is planned. In cases of abfraction associated with gingival recession, a combined restorative-surgical approach may be performed. Restorative intervention and occlusal adjustment are not indicated as treatment options to prevent further tooth loss or progression of abfraction. The clinical decision to restore abfraction lesions may be based on the need to replace form and function or to relieve hypersensitivity of severely compromised teeth or for esthetic reasons.
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Affiliation(s)
- Marcelle M Nascimento
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA
| | - Deborah A Dilbone
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA
| | - Patricia Nr Pereira
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA
| | - Wagner R Duarte
- Department of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA; Private Practice, Brasilia, DF, Brazil
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA
| | - Alex J Delgado
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA
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Pires-de-Souza F, Contente M, Vicente S, Tonani R, Nassar E, Geraldeli S. Influence of biosilicate incorporation on the mechanical properties of GIC. Dent Mater 2016. [DOI: 10.1016/j.dental.2016.08.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Carnio J, Geraldeli S, White C. Mineral Trioxide Aggregate Combined With Flap Surgery for Treatment of External Root Resorption. A Long-Term Clinical Case Report. Clin Adv Periodontics 2015. [DOI: 10.1902/cap.2014.140023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Gordan VV, Riley J, Geraldeli S, Williams OD, Spoto JC, Gilbert GH. The Decision to Repair or Replace a Defective Restoration is Affected by Who Placed the Original Restoration: Findings from the National Dental PBRN. Tex Dent J 2015; 132:448-458. [PMID: 26470521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
OBJECTIVES To evaluate how restoration characteristics are associated with the decision to repair or replace an existing restoration. The following hypotheses were studied: dentists who placed the original restoration are more likely to repair instead of replace restorations (H1) that are in molar teeth; (H2) that are in the upper arch; (H3) that have amalgam restorative material; (H4) if a fracture is not the primary reason for the defect; and (H5) when the restoration comprises more than one surface. METHODS This cross-sectional study used a consecutive patient/restoration recruitment design. 194 dentists members of a dental practice-based research network recorded data on restorations in permanent teeth that needed repair or replacement. RESULTS For 6,623 of the 8,770 defective restorations in 6,643 patients, the treatment was provided by the dentist who had not placed the original restoration (75%). The 2-way interaction revealed that dentists who had placed the original restoration often chose to repair when the defective restoration was in a molar, relative to premolar or anterior teeth (OR = 2.2, p <.001); and chose to replace when the restoration had amalgam (OR = 0.5, p < .001), and when it was a fracture compared to another reason (OR = 0.8, p = 001). CONCLUSION Most dentists are not conservative when they revisit a restoration that they originally placed regardless of type of failure, number of surfaces or material used. However, dentists who had placed the original restoration were significantly more likely to repair it when the defective restoration was in a molar tooth. CLINICAL SIGNIFICANCE Most dentists who placed the original restoration were prone to replace it, however if the defective restoration was located in a molar tooth they would consider repairing it.
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Talungchit S, Jessop JLP, Cobb DS, Qian F, Geraldeli S, Pashley DH, Armstrong SR. Ethanol-wet bonding and chlorhexidine improve resin-dentin bond durability: quantitative analysis using raman spectroscopy. J Adhes Dent 2015; 16:441-50. [PMID: 25202747 DOI: 10.3290/j.jad.a32695] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To directly test the effectiveness of ethanol-wet bonding (EW) in improving monomer infiltration into demineralized dentin through quantitative measurement of bis-GMA and TEG-DMA molar concentrations within hybrid layers, and to comprehensively evaluate the effect of EW and chlorhexidine on durability of resin-dentin bonds compared to conventional water-wet bonding (WW). MATERIALS AND METHODS A three-step etch-and-rinse adhesive (70% bis-GMA/28.75%TEG-DMA) was applied to coronal dentin using a clinically relevant ethanol-wet bonding protocol (EW) or the conventional water-wet bonding (WW) technique. Bis-GMA and TEG-DMA molar concentrations at various positions across the resin/dentin interfaces formed by EW and WW were measured using micro-Raman spectroscopy. The experiment was repeated at the same positions after 7-month storage in phosphate buffer solution containing 0.1% sodium azide. The μTBS and hybrid layer morphology (TEM) of bonding groups with and without chlorhexidine application were compared immediately and after 1-year storage in terms of nanoleakage, collagen fibril diameter, collagen interfibrillar width, and hybrid layer thickness. RESULTS Specimens bonded with EW showed significantly higher monomer molar concentrations and μTBS throughout the hybrid layer immediately and after storage, providing direct evidence of superior infiltration of hydrophobic monomers in EW compared to WW. Microscopically, EW maintained interfibrillar width and hybrid layer thickness for resin infiltration and retention. The application of chlorhexidine further preserved collagen integrity and limited the degree of nanoleakage in EW after 1-year storage. CONCLUSION EW enhances infiltration of hydrophobic monomers into demineralized dentin. The results suggest that a more durable resin-dentin bond may be achieved with combined usage of a clinically relevant EW and chlorhexidine.
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Gordan VV, Riley J, Geraldeli S, Williams OD, Spoto JC, Gilbert GH. The decision to repair or replace a defective restoration is affected by who placed the original restoration: findings from the National Dental PBRN. J Dent 2014; 42:1528-34. [PMID: 25223822 DOI: 10.1016/j.jdent.2014.09.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Revised: 09/05/2014] [Accepted: 09/06/2014] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVES To evaluate how restoration characteristics are associated with the decision to repair or replace an existing restoration. The following hypotheses were studied: dentists who placed the original restoration are more likely to repair instead of replace restorations (H1) that are in molar teeth; (H2) that are in the upper arch; (H3) that have amalgam restorative material; (H4) if a fracture is not the primary reason for the defect; and (H5) when the restoration comprises more than one surface. METHODS This cross-sectional study used a consecutive patient/restoration recruitment design. 194 dentists members of a dental practice-based research network recorded data on restorations in permanent teeth that needed repair or replacement. RESULTS For 6623 of the 8770 defective restorations in 6643 patients, the treatment was provided by the dentist who had not placed the original restoration (75%). The 2-way interaction revealed that dentists who had placed the original restoration often chose to repair when the defective restoration was in a molar, relative to premolar or anterior teeth (OR=2.2, p<.001); and chose to replace when the restoration had amalgam (OR=0.5, p<.001), and when it was a fracture compared to another reason (OR=0.8, p=001). CONCLUSION Most dentists are not conservative when they revisit a restoration that they originally placed regardless of type of failure, number of surfaces or material used. However, dentists who had placed the original restoration were significantly more likely to repair it when the defective restoration was in a molar tooth. CLINICAL SIGNIFICANCE Most dentists who placed the original restoration were prone to replace it, however if the defective restoration was located in a molar tooth they would consider repairing it.
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Affiliation(s)
- Valeria V Gordan
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, United States.
| | - Joseph Riley
- Department of Community Dentistry and Behavioral Sciences, University of Florida, Gainesville, FL, United States
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, United States
| | - O Dale Williams
- Department of Biostatistics, Florida International University, Miami, FL, United States
| | | | - Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
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Feitosa SA, Palasuk J, Kamocki K, Geraldeli S, Gregory RL, Platt JA, Windsor LJ, Bottino MC. Doxycycline-encapsulated nanotube-modified dentin adhesives. J Dent Res 2014; 93:1270-6. [PMID: 25201918 DOI: 10.1177/0022034514549997] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This article presents details of fabrication, biological activity (i.e., anti-matrix metalloproteinase [anti-MMP] inhibition), cytocompatibility, and bonding characteristics to dentin of a unique doxycycline (DOX)-encapsulated halloysite nanotube (HNT)-modified adhesive. We tested the hypothesis that the release of DOX from the DOX-encapsulated nanotube-modified adhesive can effectively inhibit MMP activity. We incorporated nanotubes, encapsulated or not with DOX, into the adhesive resin of a commercially available bonding system (Scotchbond Multi-Purpose [SBMP]). The following groups were tested: unmodified SBMP (control), SBMP with nanotubes (HNT), and DOX-encapsulated nanotube-modified adhesive (HNT+DOX). Changes in degree of conversion (DC) and microtensile bond strength were evaluated. Cytotoxicity was examined on human dental pulp stem cells (hDPSCs). To prove the successful encapsulation of DOX within the adhesives-but, more important, to support the hypothesis that the HNT+DOX adhesive would release DOX at subantimicrobial levels-we tested the antimicrobial activity of synthesized adhesives and the DOX-containing eluates against Streptococcus mutans through agar diffusion assays. Anti-MMP properties were assessed via β-casein cleavage assays. Increasing curing times (10, 20, 40 sec) led to increased DC values. There were no statistically significant differences (p > .05) in DC within each increasing curing time between the modified adhesives compared to SBMP. No statistically significant differences in microtensile bond strength were noted. None of the adhesives eluates were cytotoxic to the human dental pulp stem cells. A significant growth inhibition of S. mutans by direct contact illustrates successful encapsulation of DOX into the experimental adhesive. More important, DOX-containing eluates promoted inhibition of MMP-1 activity when compared to the control. Collectively, our findings provide a solid background for further testing of encapsulated MMP inhibitors into the synthesis of therapeutic adhesives that may enhance the longevity of hybrid layers and the overall clinical performance of adhesively bonded resin composite restorations.
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Affiliation(s)
- S A Feitosa
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA Department of Dental Materials and Prosthodontics, São Paulo State University-UNESP, São José dos Campos, SP, Brazil
| | - J Palasuk
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
| | - K Kamocki
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - S Geraldeli
- Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - R L Gregory
- Department of Oral Biology, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - J A Platt
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - L J Windsor
- Department of Oral Biology, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - M C Bottino
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
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Vale MRL, Afonso FAC, Borges BCD, Freitas AC, Farias-Neto A, Almeida EO, Souza-Junior EJ, Geraldeli S. Preheating impact on the degree of conversion and water sorption/solubility of selected single-bottle adhesive systems. Oper Dent 2014; 39:637-43. [PMID: 24819598 DOI: 10.2341/13-201-l] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE This study evaluated the degree of conversion (DC) and the water sorption/solubility of preheated single-bottle adhesive systems. METHODS AND MATERIALS Five adhesive systems were tested: Adper Easy One and Adper Single Bond 2 (3M ESPE), Excite and Tetric N-Bond (Ivoclar/Vivadent), and XP Bond (Dentsply/Caulk). After storage for two hours at 25°C or 60°C, 50 samples (n=5) were prepared for all adhesive systems and stored dry in lightproof containers at 37°C for 24 hours. Fourier transform infrared/attenuated total reflectance spectroscopy was used to evaluate the DC, and water sorption/solubility was measured by means of mass loss and gain after water storage. The data were analyzed by two-way analysis of variance followed by Tukey's test (p<0.05). RESULTS Preheated adhesive systems showed statistically significantly higher DC than those kept at 25°C. Except for XP Bond, preheated adhesive systems presented statistically significantly lower water sorption/solubility means. CONCLUSIONS Preheating improved the DC for all tested adhesive systems. Also, it promoted a decrease of water sorption/solubility, except for the XP Bond adhesive system.
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Barizon KT, Bergeron C, Vargas MA, Qian F, Cobb DS, Gratton DG, Geraldeli S. WITHDRAWN: Ceramic materials for porcelain veneers: Part II. effect of material, shade, and thickness on translucency. Trends Cardiovasc Med 2014. [DOI: 10.1016/j.tcm.2014.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Feitosa S, Palasuk J, Kamocki K, Geraldeli S, Gregory R, Windsor L, Platt J, Bottino M. Development of a novel doxycycline-encapsulated nanotube modified dentin adhesive. Dent Mater 2014. [DOI: 10.1016/j.dental.2014.08.337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Roulet JF, Geraldeli S. Adhesion is the key. J Adhes Dent 2013; 15:403. [PMID: 24223417 DOI: 10.3290/j.jad.a30879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
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Roulet JF, Geraldeli S, Sensi L, Özcan M. Relation between handling characteristics and application time of four photo-polymerized resin composites. Chin J Dent Res 2013; 16:55-61. [PMID: 23878827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To investigate the relation between handling characteristics and application time of four composite materials with subjectively different viscosities. METHODS Eight experienced faculty members placed one Class II and one Class IV restoration in a random sequence into pre-prepared plastic teeth mounted on a typodont model, each using 4 types of composites (Herculite Précis (M1), Kerr; Tertic N-Ceram (M2), Ivoclar Vivadent; Filtek Z350 (M3), 3M-ESPE; Charisma Opal (M4), HareausKulzer), resulting in a total of 64 restorations. The application process was filmed with a high definition video camera. Two evaluators watched the recordings in a random sequence as well, timed the composite application and wrote down their observations, which were dichotimised into positive and negative ones. Application times were analysed with a two-way Kruskal Wallis test (time x dentist) and the observation data were analysed with a chi-square test (P < 0.05). RESULTS Materials did not differ in their application time (P > 0.05). The mean application time was 12 ¼ minutes for the Class II and 9 ¾ minutes for Class IV restorations. However, there were statistically significant differences between the dentists in terms of application time. The observation data showed no significant difference between Class II and Class IV restorations but there were significant material differences (P < 0.05). M2 yielded 6% negative observations, while the other materials were between 35% and 38%. CONCLUSION There was no association between the handling characteristics of the tested composite resins and the speed of application. However, one of the tested materials (M2) showed significantly less problems in the application process.
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Affiliation(s)
- Jean-François Roulet
- University of Florida, Collge of Dentistry, Department of Restorative Dental Sciences, Gainesville, FL 32610-0415, USA
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Abstract
PURPOSE To test the hypothesis that stress distribution is more complex than generally assumed during microtensile testing by determining the stress level in the adhesive region of a virtual dentin-adhesive-composite stick using FEA (finite element analysis). MATERIALS AND METHODS A 3D FEA model simulating a dentin-adhesive-composite stick was analyzed. The length of the composite and the dentin was 5.0 mm each and the thickness of the adhesive layer was 0.02 mm. For the stress analysis, either only one lateral side of the stick or both end surfaces were attached. A 20-N load was then exerted on the stick with its 1.0 mm2 cross-sectional area, and von Mises stresses were calculated. RESULTS Large variations in stress levels existed. The highest stresses were located in the dentin and composite sections, near the adhesive interface. The stress level in these regions in the stick attached to one lateral side was more than 5 times higher than the 20 MPa stress calculated by dividing the force with the crosssectional area. For the specimen glued to the ends of the sticks, the stress level differences at the bonded interfaces were around 22 MPa, which decreased to 12 to 14 MPa in the center of the adhesive. Thus, this load condition yielded von Mises stress levels at the interface that were closer to the expected stress level than were the lateral-side attached specimens. CONCLUSION The calculated stress levels were higher and more complex than the strength values obtained by dividing the load at failure by the cross-sectional area. Reported strength values from microtensile tests therefore do not represent the true bond strength values at either the dentin/adhesive or adhesive/composite interface. However, the high stress levels in dentin and composite may explain the cohesive failures reported in the literature.
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Affiliation(s)
- Karl-Johan Söderholm
- Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL 32610, USA.
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Gordan VV, Riley JL, Geraldeli S, Rindal DB, Qvist V, Fellows JL, Kellum HP, Gilbert GH. Repair or replacement of defective restorations by dentists in The Dental Practice-Based Research Network. J Am Dent Assoc 2012; 143:593-601. [PMID: 22653939 PMCID: PMC3368503 DOI: 10.14219/jada.archive.2012.0238] [Citation(s) in RCA: 77] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND The authors aimed to determine whether dentists in practices belonging to The Dental Practice-Based Research Network (DPBRN) were more likely to repair or to replace a restoration that they diagnosed as defective; to quantify dentists' specific reasons for repairing or replacing restorations; and to test the hypothesis that certain dentist-, patient- and restoration-related variables are associated with the decision between repairing and replacing restorations. METHODS This cross-sectional study had a consecutive patient and restoration recruitment design. Practitioner-investigators (P-Is) recorded data for consecutively seen restorations in permanent teeth that needed repair or replacement. The DPBRN is a consortium of dental practitioners and dental organizations in the United States and Scandinavia. The collected data included the primary reason for repair or replacement, tooth surface or surfaces involved, restorative materials used and patients' demographic information. RESULTS P-Is collected data regarding 9,484 restorations from 7,502 patients in 197 practices. Seventy-five percent (7,073) of restorations were replaced and 25 percent (2,411) repaired. Secondary caries was the main reason (43 percent, n = 4,124) for treatment. Factors associated with a greater likelihood of repairing versus replacing restorations (P < .05) included having graduated from dental school more recently, practicing in a large group practice, being the dentist who placed the original restoration, patient's being of an older age, the original restorative material's being something other than amalgam, restoration of a molar and the original restoration's involving fewer tooth surfaces. CONCLUSIONS DPBRN dentists were more likely to replace than to repair restorations. Secondary caries was the most common reason for repairing or replacing restorations. Certain dentist-, patient- and restoration-related variables were associated with the repair-or-replace decision. CLINICAL IMPLICATIONS The selection of minimally invasive treatment for an existing restoration is critical, as it may affect the longevity of the tooth.
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Affiliation(s)
- Valeria V Gordan
- Department of Restorative Dental Sciences, College of Dentistry, University of Florida, P.O. Box 100415, Gainesville, FL 32610-0415, USA.
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Raposo LH, Armstrong SR, Maia RR, Qian F, Geraldeli S, Soares CJ. Effect of specimen gripping device, geometry and fixation method on microtensile bond strength, failure mode and stress distribution: Laboratory and finite element analyses. Dent Mater 2012; 28:e50-62. [DOI: 10.1016/j.dental.2012.02.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2011] [Revised: 11/29/2011] [Accepted: 02/20/2012] [Indexed: 10/28/2022]
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Carvalho RM, Manso AP, Geraldeli S, Tay FR, Pashley DH. Durability of bonds and clinical success of adhesive restorations. Dent Mater 2012; 28:72-86. [PMID: 22192252 PMCID: PMC3863938 DOI: 10.1016/j.dental.2011.09.011] [Citation(s) in RCA: 141] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2011] [Revised: 09/19/2011] [Accepted: 09/19/2011] [Indexed: 11/26/2022]
Abstract
Resin-dentin bond strength durability testing has been extensively used to evaluate the effectiveness of adhesive systems and the applicability of new strategies to improve that property. Clinical effectiveness is determined by the survival rates of restorations placed in non-carious cervical lesions (NCCL). While there is evidence that the bond strength data generated in laboratory studies somehow correlates with the clinical outcome of NCCL restorations, it is questionable whether the knowledge of bonding mechanisms obtained from laboratory testing can be used to justify clinical performance of resin-dentin bonds. There are significant morphological and structural differences between the bonding substrate used in in vitro testing versus the substrate encountered in NCCL. These differences qualify NCCL as a hostile substrate for bonding, yielding bond strengths that are usually lower than those obtained in normal dentin. However, clinical survival time of NCCL restorations often surpass the durability of normal dentin tested in the laboratory. Likewise, clinical reports on the long-term survival rates of posterior composite restorations defy the relatively rapid rate of degradation of adhesive interfaces reported in laboratory studies. This article critically analyzes how the effectiveness of adhesive systems is currently measured, to identify gaps in knowledge where new research could be encouraged. The morphological and chemical analysis of bonded interfaces of resin composite restorations in teeth that had been in clinical service for many years, but were extracted for periodontal reasons, could be a useful tool to observe the ultrastructural characteristics of restorations that are regarded as clinically acceptable. This could help determine how much degradation is acceptable for clinical success.
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Affiliation(s)
- Ricardo M Carvalho
- Department of Oral Biological and Medical Sciences, Division of Biomaterials, University of British Columbia, Vancouver, Canada.
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Geraldeli S, Li Y, Hogan MMB, Tjaderhane LS, Pashley DH, Morgan TA, Zimmerman MB, Brogden KA. Inflammatory mediators in fluid extracted from the coronal occlusal dentine of trimmed teeth. Arch Oral Biol 2011; 57:264-70. [PMID: 21930261 DOI: 10.1016/j.archoralbio.2011.08.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2011] [Revised: 08/16/2011] [Accepted: 08/21/2011] [Indexed: 12/30/2022]
Abstract
BACKGROUND Chemokines and cytokines may occur in dentinal fluids in response to local infection and inflammation. To test this hypothesis, we assessed the presence and concentration of inflammatory mediators in fluid extracted from the coronal occlusal dentine of trimmed teeth. DESIGN Freshly extracted sound, carious, and restored molars were trimmed through the enamel to expose the underlying dentine, etched with 35% phosphoric acid, and rinsed. Fluid was extracted from the coronal occlusal dentine of these trimmed teeth by centrifugation at 2750 × g for 30 min. RESULTS When assessed by MALDI-TOF, fluid extracted from the coronal occlusal dentine from 16 molars contained at least 117 peaks with different masses suggesting that this fluid was rich with molecules within the appropriate mass range of potential mediators. Indeed, when assessed for chemokines and cytokines, fluid extracted from the coronal occlusal dentine from 25 extracted molars with caries lesions, 10 extracted restored molars with occlusal amalgam, and 77 extracted sound molars contained IL-1β, TNF-α, IL-6, IL-8, IL-12(p70), and IL-10. A significant elevation was found for TNF-α (p=0.041) in extracted fluid from teeth restored with amalgam fillings. CONCLUSIONS Overall, fluid extracted from the coronal occlusal dentine of trimmed teeth may be useful in identifying proteins and other molecules in dentine and pulpal fluids and determining their role as mediators in the pathogenesis of oral infection and inflammation.
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Affiliation(s)
- Saulo Geraldeli
- Restorative Dental Sciences Operative Division, College of Dentistry, University of Florida, Gainesville, 32610, USA.
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Nascimento FD, Minciotti CL, Geraldeli S, Carrilho MR, Pashley DH, Tay FR, Nader HB, Salo T, Tjäderhane L, Tersariol ILS. Cysteine cathepsins in human carious dentin. J Dent Res 2011; 90:506-11. [PMID: 21248362 DOI: 10.1177/0022034510391906] [Citation(s) in RCA: 152] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Matrix metalloproteinases (MMPs) are important in dentinal caries, and analysis of recent data demonstrates the presence of other collagen-degrading enzymes, cysteine cathepsins, in human dentin. This study aimed to examine the presence, source, and activity of cysteine cathepsins in human caries. Cathepsin B was detected with immunostaining. Saliva and dentin cysteine cathepsin and MMP activities on caries lesions were analyzed spectrofluorometrically. Immunostaining demonstrated stronger cathepsins B in carious than in healthy dentin. In carious dentin, cysteine cathepsin activity increased with increasing depth and age in chronic lesions, but decreased with age in active lesions. MMP activity decreased with age in both active and chronic lesions. Salivary MMP activities were higher in patients with active than chronic lesions and with increasing lesion depth, while cysteine cathepsin activities showed no differences. The results indicate that, along with MMPs, cysteine cathepsins are important, especially in active and deep caries.
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Affiliation(s)
- F D Nascimento
- Grupo de Estudos em Odontologia, Universidade Bandeirante de São Paulo, Brazil
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Raposo L, Correr-Sobrinho L, Armstrong S, Qian F, Geraldeli S, Soares C. Microtensile critical testing parameters: Laboratory and finite elements analysis. Dent Mater 2011. [DOI: 10.1016/j.dental.2011.08.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Armstrong S, Geraldeli S, Maia R, Raposo LHA, Soares CJ, Yamagawa J. Adhesion to tooth structure: A critical review of “micro” bond strength test methods. Dent Mater 2010; 26:e50-62. [DOI: 10.1016/j.dental.2009.11.155] [Citation(s) in RCA: 164] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2009] [Accepted: 11/23/2009] [Indexed: 10/20/2022]
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Hirata K, Yamagawa J, Geraldeli S, Qian F, Armstrong S. Polishability of nanofilled resin-based composites. Dent Mater 2010. [DOI: 10.1016/j.dental.2010.08.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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