Hiroyasu Hosoda

Relationship between Hardness, Discoloration, and Microbial Invasion in Carious Dentin

SYNOPSIS IN INTERLINGUA LE RELATION INTER LE DURITATE, LE DISCOLORATION, E LE INVASION MICROBIAL IN DENTINA CARIOSE.-Frescamente extrahite dentes con carie esseva dissecate verticalmente. In un del partes le superficie sectional esseva examinate pro duritate secundo Knoop e discoloration. Sectiones histologic del altere parte esseva usate pro le detection de evidentia microbiotic. Le resultatos esseva le sequentes: In dentina cariose, mollification precedeva in omne casos le discoloration, e invasion microbial esseva semper le tertie stadio. Le duritate de dentina in le fronte discolorate o microbial esseva inferior in casos acute e superior in casos chronic. Le distantia inter ille frontes e le fronte de mollification esseva plus grande in casos acute e plus micre in casos chronic.

Relief of resistance of cement of full cast crowns

T HE RESISTANCE OF cementing materials is a factor that prevents cast restorations from being seated correctly. Such a failure in seating restorations, if slight, can be compensated by malleting or burnishing their margins. However, the margins of full crowns are difficult to mallet or burnish in the mouth. In a previous study,l the thickness of the film of cement of Class I, II, and MOD inlays, and full crowns was determined on their cross sections. The best adaptation of full crowns was obtained when they were made by a combination of an alginate indirect method as described by Fusayama,2p” and the improved thermal expansion technique. 3,4 These crowns generally exhibited more than 90 p thickness of cement on their occlusal floors unless some special means were used to relieve the heavy resistance of the cementing substance. Many means have been suggested5-8 for relieving the resistance of cement for the placement of full crowns. Perforation of the center of the occlusal surfaces of crowns to provide an outflow for the cement has been reported as the most effective method.9-11 However, this technique is not convenient because the perforations must be sealed later with gold foils or inlays. Another technique requires relief spaces inside of cast crowns such as reduced inside surfaces by means of dental burs. However, in this procedure the advantage of cast crowns is reduced by the irregular loss of bulk. In this study, the influences of the cementing load, the taper and height of preparations, and relief spaces inside crowns were investigated as they related to the adaptation of full cast crowns during cementation.

Relation of finish to discoloration of composite resins

3. Popovich, F. and Thompson G. W.: Maxillary diastema: Indications for treatment. Am J Orthod 75:399, 1979. 4. Keene, H. J.: Distribution of diastema in the dentition of man. Am ,J Phys Anthropol 21:437, 1963. 5. Becker, A.: The median diastema. Dent Glin North Am 22:685, 1978. 6. Lindsey, D.: The upper midline space and its relation to the labial frenum in children and adults. Br Dent J 143:327, 1977. 7. Hornwitz, H. S.: A study of occlusal relations in 10 to 12 year old Caucasian and Negro children. Int Dent J 20:593, 1970. 8. Becker, A.: The median maxillary distema: A review of its etiology. Israel J Dent Med 26:21, 1977. 9. Lavelle, C. L. B.: Distribution of diastema in different human population sample. Scand J Dent Res 78:530, 1970.

Dentin thickness, hardness, and Ca-concentration vs bond strength of dentin adhesives.

The relationship between the tensile bond strength (TBS) and three dentin characteristics: remaining dentin thickness (RDT), Ca-concentration, and hardness, were investigated. Sixty-two extracted bovine incisors, divided into four groups, were prepared using 600-grit SiC paper to create flat dentinal surfaces. The materials tested in this study consisted of three commercially available and one experimental dentin bonding systems. The TBS and modes of failure were determined after storage for 24 h in 37 degrees C water. Then RDT, Ca-concentration, and hardness were measured. Data were statistically compared with TBS of each group. The mean bond strength of the commercial materials ranged from 2.5 +/- 0.9 MPa to 7.7 +/- 2.8 MPa. Correlations with Ca-concentration and RDT varied, depending on the product. The bond strength of the experimental material was 9.2 +/- 4.4 MPa and significantly correlated with RDT and hardness. With two of the dentin bonding agents, specimens showed a high number of cohesive fractures in dentin, 40% to 82%. It was concluded that the variability of TBS was influenced by dentinal characteristics in three of the four materials tested.

SEM and elemental analysis of composite resins

Twenty-four chemically cured, 21 light-cured anterior, three light-cured anterior/posterior, and 18 light-cured posterior composite resins were examined using scanning electron microscopy, and the elemental composition of their filler particles was analyzed with an energy dispersive electron probe microanalyzer. According to the results obtained, the composite resins were divided into five groups (traditional, microfilled type, submicrofilled type, hybrid type, and semihybrid), with two additional hypothetical categories (microfilled and hybrid). Characteristics of each type were described with clinical indications for selective guidance of respective composite resins for clinical use.

The addition of an adhesive composite resin to the same material: Bond strength and clinical techniques

The addition of a chemically adhesive composite resin to a restoration of the same material may be evaluated by the bond strength. This was determined after no contamination and after momentary (30 seconds), short-term (7 days), and long-term (3 months) contamination under various conditions. The momentary contamination was not removed by spray-washing the glossy surface that set under a matrix. Removing the glossy surface reduced the bond. The momentary contamination was removed by the etchant whereas the longer contamination was removed only by surface reduction. The application of etchant and bonding agents significantly strengthened the bond to the reduced surface. According to the directives drawn from this investigation, the clinical techniques were illustrated for a large restoration, a subgingival proximal restoration, repair of an open proximal contact, and repair of a worn restoration.

Early Tensile Bond Strengths of Several Enamel and Dentin Bonding Systems

Tensile bond strength tests are commonly used for the evaluation of adhesive dental materials. The majority of these tests are carried out after 24 h of storage in water. However, determination of the early tensile bond strength could be more important, especially in relation to gap formation between the cavity surface and the restorative material. This study investigated the tensile bond strengths of five enamel/ dentin bonding systems and two experimental dentin bonding systems. Tensile bond strengths were obtained at one min, ten min, and 24 h after the resin composite was cured. Bond strengths at the early stages were always somewhat less than the 24-hour test results. For the enamel/dentin bonding systems, a significant difference was found between the enamel and dentin bond strengths at all time periods, except with Superbond D-liner and Liner Bond. The experimental group with glyceryl methacrylate as the primer produced a good 24-hour result (14.3 MPa), but the early bond strengths were no different from those in the non-primer-treated groups. It was concluded that this material may actually retard the polymerization of the bonding resin. Previous workers have suggested that a tensile bond strength in the order of 20 MPa is necessary for gap-free restorations to be obtained. Should this be the case, then all of the materials tested, from the aspect of early bond strength, lack the strength for prevention of gap formation, although Superbond D-liner and Liner Bond approached this hypothetical figure. These systems, Superbond D-liner and Liner Bond, also exhibit small differences between the enamel and dentin tensile bond strengths.

Effects of high-speed cutting on dentin permeability and bonding*

The effects of high-speed cutting by use of a diamond bur with or without water coolant or sanding by 80-grit SiC paper on dentin permeability, before and after surface treatment, and dentin bonding of adhesive resins were compared. Three different bonding systems were used: Scotchbond DC, which requires no removal of smear layers, and two others, Clearfil Photobond and Superbond C&B, both of which remove smear layers (phosphoric acid gel or 10% citric acid containing 3% ferric chloride, respectively). Creation of smear layers by bur cutting or sanding reduced dentin permeability to levels that were only 1-3% of the maximum permeability values. Scotchbond DC gave low but consistent bond strengths (3.7-6.1 MPa) to dentin covered with smear layers. Clearfil PHotobond also produced consistent bond strengths (8.6-9.4 MPa). The increase in the permeability of dentin after phosphoric acid treatment was higher when the SiC paper was used (146%) than when the high-speed bur was used (87-90%). The smear layer and smear plugs produced by the diamond bur were more resistant to 10-3 treatment than were the SiC-created smear layers. The bond strengths of Superbond showed the highest bond strengths to the conditioned dentin when the high-speed cutting was used with water coolant (16.3 MPa), compared with the other two groups (12.2-12.5 MPa).

Adhesive interface between resin and etched dentin of cervical erosion/abrasion lesions.

The interfacial structure between an adhesive composite resin and the dentinal walls of cervical erosion/abrasion lesions etched with 37% phosphoric acid gel for 60 seconds was investigated. Almost all dentinal tubules were occluded with rod-like structural depositions that remained undissolved even after acid conditioning. The hybrid layer between the adhesive resin and surface-demineralized dentin was found to be 0.3 to 3 microns, much thinner than that routinely found in either normal dentin or cariously affected dentin. The hybrid layer was thinnest at the occlusal walls of the cavity where the dentinal tubules run parallel to the cavity surface. The bond strength of adhesive resin to these areas may differ from that to intact normal dentin.

The long term durability of bond strengths to dentin

The aim of this study was to investigate the durability, throughout one year, of tensile bond strengths (TBS) to bovine dentin using various commercial and experimental bonding systems. Specimens were stored in a controlled solution of ion-exchanged water containing plaster chips and sodium azide. From the results it was concluded that the changes in TBS were not uniform over time, but a significant decrease was usually observed. For Super Bond D-liner and KB-100, the TBS were the highest and exhibited remarkable stability over the test period. The mode of fracture was noted to vary depending on the treatment system used, and was independent of TBS. Generally, the fracture mode tended to show increases in adhesive/cohesive failures within the resin over time. Super Bond D-liner always exhibited adhesive type failure at the tooth interface, and later involved failure in the hybrid layer. KB-100 showed very little change in failure over one year, being usually adhesive between bonding resin and resin composite. The results from this study indicate the need to carry out durability studies for the basic evaluation of all bonding systems. It was shown that the use of a controlled storage solution is important.