Adem Kusgoz

Silorane‐Based Composite: Depth of Cure, Surface Hardness, Degree of Conversion, and Cervical Microleakage in Class II Cavities

OBJECTIVE The purpose of this study was to determine the depth of cure, degree of conversion (DC), hardness, and cervical sealing ability of silorane-based composite (Filtek Silorane [FS; 3M, Seefeld, Germany]) and to compare with methacrylate-based composites (MBCs = Filtek Supreme XT [FSXT] and Filtek P60 [FP60]). MATERIALS AND METHODS The DC and hardness of every material were evaluated after 1, 7, and 30 days. The depth of cure was determined using the ISO 4049:2000 standard. Microleakage was evaluated by measuring dye penetration across the gingival wall in cross-sectioned specimens. RESULTS FS showed lower depth of cure than FSXT and FP60. The DC of FS was significantly lower when compared to FP60 and FSXT. FS exhibited lower hardness than both FSXT and FP60 after 1 day of storage. The hardness of FS remained unchanged during the storage period. FS showed reduced microleakage scores compared to FSXT and showed similar microleakage scores compared to FP60. CONCLUSIONS In conclusion, the DC and cure depth of FS are lower than those of MBCs. However, FS revealed stable hardness in water that is comparable to MBCs. The sealing ability of FS is similar or even better than that of MBCs.

Initial Repair Bond Strength of a Nano-filled Hybrid Resin: Effect of Surface Treatments and Bonding Agents

BACKGROUND The optimal surface treatment is an important factor in repairing failed restorations. PURPOSE The aim of this study was to compare the effect of different surface treatments in combination with bonding agents on the repair of an aged nano-filled resin composite. MATERIALS AND METHODS Resin composite disks (N = 180; Filtek Supreme XT, 3M ESPE, St. Paul, MO, USA), 6 mm in diameter and 2 mm in height, were prepared. After accelerated aging of 300 hours in a weathering tester, the specimens were randomly divided into six groups of 30 each, according to the following surface treatment methods: no surface treatment (control group, C), 38% phosphoric acid gel (PA), 9.6% hydrofluoric acid gel (HF), abrasion with sodium bicarbonate particles (SB), aluminum trioxide particle abrasion (AT), and diamond bur (DB). Fresh resin composite was bonded to the treated surfaces with one of two bonding agents (Prime&Bond NT, Dentsply/Caulk, Milford, DE, USA; Clearfil SE Bond, Kuraray Co./J., Morita, Japan). The effect of each surface treatment on the bond strength was determined by a shear bond test. Data were analyzed by two-way analysis of variance and Tukeys post hoc test (p = 0.05). RESULTS Significant differences were found between the groups, for both surface treatment and bonding agent (p < 0.05). For all surface treatments, the shear bond strengths (SBSs) with Clearfil SE were higher than those with Prime&Bond (p < 0.05). The mean SBS values for the surface treatment groups were, from highest to lowest, 19.3 (DB), 18.7 (AT), 17.4 (SB), 15.2 (HF), 9.2 (C), and 8.8 MPa (PA). CONCLUSIONS Surface treatment with DB or AT was more effective than with the other surface treatments tested for the repair of nano-filled composites. The adhesive used as an intermediate agent is also important in composite repair. CLINICAL SIGNIFICANCE Surface treatment with a diamond bur plus a proper adhesive agent is a simple, efficient, and cost-effective procedure for enhancing the shear bond strength of a repaired nano-hybrid resin composite.

Validity of demirjian and nolla methods for dental age estimation for Northeastern Turkish children aged 5-16 years old

Objective: To evaluate the applicability of Demirjian and Nolla methods for northeastern Turkish population. Material and Method: A retrospective study was performed on panoramic radiographs of 673 subjects aged 5–15.9 years. The mean dental age (DA) according to the Demirjian and Nolla methods were compared to the mean chronological age (CA). Results: The mean CA of the study sample was 10.37±2.90 and 10.03±2.81 years for females and males, respectively. Using the Demirjian method, the mean estimated DA was 11.26±3.02 years for females and 10.87±2.96 years for males. For Nolla method, the mean estimated DA was 9.80±3.41 and 9.53±3.14 years for females and males, respectively. The mean differences between the CA and DA according to the Demirjian and Nolla methods were 0.86 and -0.54 years for total study sample. Conclusion: Nolla method was found to be a more accurate method for estimating DA in northeastern Turkish population. Key words:Dental age, demirjian method, nolla method, chronological age.

Treatment of horizontal root fractures using MTA as apical plug: report of 3 cases

Root fractures are rare occurrences through all dental injuries. They comprise only 0.5% to 7.0% of traumas affecting the permanent teeth. Generally the cervical and middle thirds of the roots are affected. The healing of these lesions depends on the health of the pulp, dentine, cementum, and alveolar bone. These case reports describe the management and 2-year follow-up of 3 maxillary central incisors with horizontal root fractures treated with mineral trioxide aggregate (MTA) as apical plug.

Shear Bond Strength of Conventional Glass Ionomer Cements Bound to Mineral Trioxide Aggregate

INTRODUCTION This study measured the shear bond strength of conventional glass ionomer cements (GICs; Ketac Molar Easymix and Fuji IX) bonded to white mineral trioxide aggregate (WMTA) that had been allowed to set for 2 different time intervals. METHODS Forty-eight WMTA specimens were prepared; half were stored for 45 minutes, and the remaining 24 specimens were stored for 72 hours at 37 degrees C and 100% humidity. Then each group was divided into 2 subgroups of 12 specimens, and each GIC was layered on each of the 2 WMTA preparations. The GIC-WMTA shear bond strengths were measured and were compared by using one-way analysis of variance. RESULTS The shear bond strengths with the 45-minute and 72-hour WMTAs were 8.85 and 9.16 MPa, respectively, for Ketac Molar Easymix and 9.34 and 9.96 MPa, respectively, for Fuji IX. The GIC-WMTA bond strength was not different between GIC applications to WMTA that had set for 45 minutes versus 72 hours (P >.05). CONCLUSIONS GICs might be used over MTA after the MTA has set for 45 minutes to allow single-visit procedures.

Retreatment of a Resected Tooth Associated with a Large Periradicular Lesion by Using a Triple Antibiotic Paste and Mineral Trioxide Aggregate: A Case Report with a Thirty-month Follow-up

INTRODUCTION Trauma to the teeth and supporting structures is a frequent problem among children. Endodontic treatment is necessary for 41.3% of traumatized teeth. Two of the most important criteria for successful endodontic treatment are the elimination of microorganisms and apical sealing. A combination of antibiotic drugs (metranidozole, ciprofloxacin, and minocycline) is used to eliminate target bacteria, which are possible sources of endodontic lesions. For cases in which apical sealing is difficult, specific materials to plug the apical region have been advocated. Mineral trioxide aggregate (MTA) has become the material of choice because it is biocompatible and has bacteriostatic action. METHODS This case report describes the nonsurgical retreatment of a traumatized tooth that had already undergone unsuccessful apical resection associated with a large periradicular lesion. A combination of antibiotic drugs was used as an intracanal medicament, and MTA was used to obtain a hermetic seal of the lateral tooth that had undergone unsuccessful apical resection. RESULTS On follow up, the tooth was clinically and radiographically asymptomatic for 30 months. CONCLUSIONS The results of this case show that MTA and triple antibiotic paste can be used clinically in the treatment of an unsuccessfully resected tooth associated with a large periradicular lesion.

Comparison of pre-emptive ibuprofen, paracetamol, and placebo administration in reducing post-operative pain in primary tooth extraction

BACKGROUND This study investigates preliminary investigations that a pre-emptive analgesia administration may reduce post-extraction pain. AIM This prospective, placebo-controlled, randomized, double-blind trial was planned to compare the efficacy of the pre-emptive administration of ibuprofen, paracetamol, and placebo in reducing post-extraction pain in children. DESIGN Forty-five children, ages 6-12, who needed primary mandibular molar tooth extraction were treated in paediatric dental clinics, with treatment preceded by local anaesthesia and analgesic drugs during the preoperative period. A five-face scale was used to evaluate pain reaction during the injection, extraction, and post-operative period. Self-report scores were recorded when the local anaesthesia had been administered in soft tissues and both before and after the extraction was completed. The Kruskal-Wallis and Mann-Whitney U tests (with Bonferroni correction paired t-test as the post hoc test) were used at a confidence level of 95%. RESULTS The use of pre-emptive analgesics showed lower scores compared to the placebo, irrespective of the age, weight, gender of the child, and the number of teeth extracted during the study period. Additionally, ibuprofen exhibited lower pain scores (P < 0.05) compared to paracetamol at the 15-min (P < 0.001) and 4-h (P < 0.009) periods. CONCLUSIONS Preoperative use of ibuprofen and paracetamol may provide a pre-emptive analgesic effect in paediatric patients who receive adequate analgesia during mandibular primary tooth extraction.

Conversion degree, microhardness, microleakage and fluoride release of different fissure sealants

The purpose of this study was to determine the degree of conversion (DC), microhardness, microleakage and fluoride release of a nano-filled resin based fissure sealant (Grandio Seal, GS) and compare it with an un-filled resin based fissure sealant (Clinpro, CL) and a glass-ionomer based fissure sealant (Fuji Triage, FT). Disk shaped specimens were prepared from tested fissure sealants to determine the DC, Vicker hardness (VHN) and fluoride release (FR). The DC and VHN of each material was evaluated after 24 h. The cumulative fluoride concentrations were evaluated at 1 h, 6 h, 12 h, 1, 7, 15 and 30 days. For microleakage evaluation, fissure sealants were applied to the etched and dried enamel surfaces of sound third molar teeth according to the manufacturers instructions (n=10). After the thermocycling and mechanical loading procedures, microleakage assessments were carried out. Data were analyzed using one-way ANOVA followed by a post hoc Tukey test, the Kruskal Wallis and Mann-Whitney U test (p<0.05). Results revealed differences regarding DC between all groups: FT (89%) > GS (55.02%) > CL (%51.10) (p<0.05). The VHN values were significantly different among all groups in the following order: GS > FT > CL (p<0.05). FT exhibited significantly higher microleakage scores compared to the CL and GS sealants (p<0.05). The FR of FT was significantly greater than CL and GS (p<0.05). Nano-filled resin based sealant can be used as an alternative to other fissure sealant materials because of its superior hardness results and feasible sealing ability.

Shear bond strength of orthodontic brackets to aged resin composite surfaces: effect of surface conditioning

The aim of this study was to investigate the effects of surface conditioning protocols on the shear bond strength (SBS) of metal brackets to aged composite resin surfaces in vitro. Ninety composite resin discs, 6 mm in diameter and 2 mm in height, were prepared and treated with an ageing procedure. After ageing, the specimens were randomly assigned to one of the following groups: (1) control with no surface treatment, (2) 38 per cent phosphoric acid gel, (3) 9.6 per cent hydrofluoric acid gel, (4) airborne aluminium trioxide particle abrasion, (5) sodium bicarbonate particle abrasion, and (6) diamond bur. The metal brackets were bonded to composite surfaces by means of an orthodontic adhesive (Transbond XT). All specimens were stored in water for 1 week at 37°C and then thermocycled (1000 cycles, 5-55°C) prior to SBS testing. SBS values and residual adhesive on the composite surface were evaluated. Analysis of variance showed a significant difference (P = 0.000) between the groups. Group 6 had the highest mean SBS (10.61 MPa), followed by group 4 (10.29 MPa). The results of this study suggest that a clinically acceptable bond strength can be achieved by surface conditioning of aged resin composite via the application of hydrofluoric acid, aluminium trioxide particle abrasion, sodium bicarbonate particle abrasion, or a diamond bur.

Nonsurgical endodontic treatment of Type III dens invaginatus in maxillary canine: an 18-month follow-up.

Dens invaginatus (DI) is a developmental variation resulting from an infolding of the outer enamel surface of a tooth into the interior. The greatest difficulty in the endodontic treatment of DI is in locating the rudimentary root canal, because of the atypical internal morphologic complexity. Invagination may also restrict sufficient cleaning and shaping. This case report describes a nonsurgical root canal treatment of Type 3 DI in a maxillary canine. Despite the complex anatomy of dens invaginatus, nonsurgical endodontic treatment was performed successfully and at follow-up examination after 18 month, healing was achieved without any need for further surgical intervention.