Jeong-Kil Park

Tooth Bleaching with Nonthermal Atmospheric Pressure Plasma

We demonstrated that room temperature plasma could be used for tooth bleaching. A nonthermal, atmospheric pressure, helium plasma jet device was developed to enhance the tooth bleaching effect of hydrogen peroxide (H(2)O(2)). All teeth were sectioned sagittally into halves, which were assigned randomly to either the experimental group or the control group. The experimental group was treated with H(2)O(2) (28%, 20 microL every 30 seconds) plus plasma (5 W) for 10 minutes; the control group was treated with H(2)O(2) alone for the same duration. Removal of the tooth surface protein was demonstrated by scanning electron microscopy images and Ponceau staining. Production of hydroxyl radicals (.OH) was measured by using electron spin resonance spin-trapping. Combining plasma and H(2)O(2) improved the bleaching efficacy by a factor of 3 compared with using H(2)O(2) alone. Tooth surface proteins were noticeably removed by plasma treatment. When a piece of tooth was added to a solution of H(2)O(2) as a catalyst, production of *OH after plasma treatment was 1.9 times greater than when using H(2)O(2) alone. We suggest that the improvement in tooth bleaching induced by plasma is due to the removal of tooth surface proteins and to increased *OH production.

Torsional strength and toughness of nickel-titanium rotary files.

INTRODUCTION The aim of this investigation was to compare torsional strength, distortion angle, and toughness of various nickel-titanium (NiTi) rotary files. METHODS Five NiTi rotary instruments with different cross-sectional geometries were selected: TF and RaCe with equilateral triangle, ProTaper with convex-triangle, ProFile with U-shape, and Mtwo with S-shape. The size 25/.06 taper of TF, RaCe, ProFile, and Mtwo and the ProTaper F1 files were tested, all with the same diameter at D5. A metal mounting block with a cubical hole was constructed in which 5 mm of the file tip was rigidly held in place by filling the mold with a resin composite. The files were subjected to clockwise rotation at 2 rpm in a torsion tester. The torque and angular distortion were monitored until the file failed. The data were compared statistically for the yield and ultimate strengths, plastic hardening period, and toughness. RESULTS TF and RaCe had significantly lower yield strength than other systems. TF had a significantly lower ultimate strength than other files, whereas Mtwo showed the greatest. ProFile showed the highest distortion angle at break, followed by TF. ProFile also showed the highest toughness value, whereas TF and RaCe both showed a lower toughness value than the others (P < .05). Fractographic examination revealed typical pattern of torsional fracture for all brands, characterized by circular abrasion marks and skewed dimples near the center of rotation. CONCLUSIONS Under the limitations of the present study, the 5 tested NiTi rotary files showed a similar mechanical behavior under torsional load, with a period of plastic deformation before actual torsional breakage but with unequal strength and toughness value.

Dynamic Torsional Resistance of Nickel-Titanium Rotary Instruments

INTRODUCTION The cyclic fatigue of nickel-titanium (NiTi) rotary instruments has been studied extensively, but there is little information available on torsional fracture. Moreover, a clinical repeated locking effect was not considered in previous studies that evaluated torsional resistance of NiTi instruments. Thus, this study was aimed to compare the repetitive torsional resistance of various NiTi instruments with clinical relevance. MATERIALS AND METHODS Five brands of NiTi rotary instruments were selected: Twisted File (TF; SybronEndo, Orange, CA) and RaCe systems (FKG Dentaire, La Chaux-de-Fonds, Switzerland), both with an equilateral triangular cross-section, and the ProTaper (Dentsply Maillefer, Ballaignes, Switzerland), Helix (DiaDent, Chongju, Korea), and FlexMaster (VDW, Munchen, Germany), which had a convex triangular cross-section. Five millimeters of the tip of each file was embedded in composite resin block, and uniform torsional stresses (300 rpm, 1.0 N.cm) were applied repetitively by an endodontic motor with auto-stop mode until the file succumbed to torsional failure. The number of load applications leading to fracture was recorded. All fracture surfaces were examined under the SEM. Results were analyzed nonparametrically with alpha = 0.05. RESULTS Under the mode of load applications in this study, TF had the lowest and FlexMaster the highest torsional resistance among the groups (p < 0.05). Scanning electron microscopy examination revealed a typical pattern of torsional fracture for TF, RaCe, and ProTaper that was characterized by circular abrasion marks and skewed dimples near the center of rotation. In addition to these marks, Helix and FlexMaster presented a rough, torn-off appearance. CONCLUSION It was concluded that files of same cross-sectional design may exhibit different resistance to fracture probably as a result of the manufacturing process.

Comparison of Forces Generated During Root Canal Shaping and Residual Stresses of Three Nickel–Titanium Rotary Files by Using a Three-Dimensional Finite-element Analysis

The study was aimed to compare the stress distribution during simulated root canal shaping and to estimate the residual stress thereafter for some nickel-titanium rotary instruments. Three brands of instruments (ProFile, ProTaper, and ProTaper Universal; Dentsply Maillefer) were scanned with micro-computed tomography to produce a real-size, 3-dimensional model for each. The stresses on the instrument during simulated shaping of a root canal were analyzed numerically by using a 3-dimensional finite-element package, taking into account the nonlinear mechanical behavior of the nickel-titanium material. From the simulation, the original ProTaper design showed the greatest pull in the apical direction and the highest reaction torque from the root canal wall, whereas ProFile showed the least. In ProTaper, stresses were concentrated at the cutting edge, and the residual stress reached a level close to the critical stress for phase transformation of the material. The residual stress was highest in ProTaper followed by ProTaper Universal and ProFile.

Interaction of LED light with coinitiator-containing composite resins: Effect of dual peaks

OBJECTIVES Recently the colour stability of composite resins has been an issue due to the emphasis on the aesthetics of restored teeth. The purpose of the present study was to investigate how dual-peak LED units affect the polymerization of coinitiator-containing composite resins. MATERIALS AND METHODS Five composite resins [coinitiator-containing: Aelite LS Posterior (AL), Tetric EvoCeram (TE), and Vit-l-escence (VI); only CQ-containing: Grandio (GD) and Filtek Z350 (Z3)] were light cured using four different light-curing units (LCUs). Among them, Bluephase G2 (BP) and G-light (GL) were dual-peak LED LCUs. Microhardness, polymerization shrinkage, flexural, and compressive properties were measured. RESULTS BP and GL had no consistent effect on the microhardness of AL, TE, and VI on the top and bottom surfaces of resin specimens. Among the specimens, AL and VI showed the least (9.86-10.41 μm) and greatest (17.58-19.21 μm) polymerization shrinkage, respectively. However, the effect of BP and GL on the shrinkage of specimens was not consistent. Among the specimens, GD showed the greatest flexural properties [strength (FS) and modulus (FM)] and TE showed the lowest flexural and compressive properties [strength (CS) and modulus (CM)]. In same resin product, maximum FS and CS differences due to the different LCUs were 10.3-21.0% and 3.6-9.2%, respectively. Furthermore, the influences of BP and GL on FS and CS were not consistent. CONCLUSION The tested dual-peak LED LCUs had no consistent synergic effect on the polymerization of coinitiator-containing composite resins as compared with QTH and single-peak LED LCUs. CLINICAL SIGNIFICANCE The dual-peak LED LCUs achieve a similar degree of polymerization in coinitiator-composite resins as QTH and single-peak LED LCUs did. Choice of LCU does not appear to be a determinant of the light curing of coinitiator-composite resins.

The effect of resin thickness on polymerization characteristics of silorane-based composite resin

Objectives This study examined the influence of the resin thickness on the polymerization of silorane- and methacrylate-based composites. Materials and Methods One silorane-based (Filtek P90, 3M ESPE) and two methacrylate-based (Filtek Z250 and Z350, 3M ESPE) composite resins were used. The number of photons were detected using a photodiode detector at the different thicknesses (thickness, 1, 2 and 3 mm) specimens. The microhardness of the top and bottom surfaces was measured (n = 15) using a Vickers hardness with 200 gf load and 15 sec dwell time conditions. The degree of conversion (DC) of the specimens was determined using Fourier transform infrared spectroscopy (FTIR). Scratched powder of each top and bottom surface of the specimen dissolved in ethanol for transmission FTIR spectroscopy. The refractive index was measured using a Abbe-type refractometer. To measure the polymerization shrinkage, a linometer was used. The results were analyzed using two-way ANOVA and Tukeys test at p < 0.05 level. Results The silorane-based resin composite showed the lowest filler content and light attenuation among the specimens. P90 showed the highest values in the DC and the lowest microhardness at all depth. In the polymerization shrinkage, P90 showed a significantly lower shrinkage than the rest two resin products (p < 0.05). P90 showed a significantly lower refractive index than the remaining two resin products (p < 0.05). Conclusions DC, microhardness, polymerization rate and refractive index linearly decreased as specimen thickness linearly increased. P90 showed much less polymerization shrinkage compared to other specimens. P90, even though achieved the highest DC, showed the lowest microhardness and refractive index.

Effect of Energy Density on Low-Shrinkage Composite Resins: Diode-Pumped Solid State Laser Versus Quartz-Tungsten-Halogen Light-Curing Unit

OBJECTIVE The purpose of the present study was to evaluate the effect of energy density on the polymerization of low-shrinkage composite resins. BACKGROUND DATA The number of photons needs to initiate the polymerization process can be controlled by light intensity and curing time through the form of energy density. MATERIALS AND METHODS For the study, two methacrylate-based (Premise [PR] and Venus Diamond [VE]) and one silorane-based (Filtek LS [LS]) composite resins were light cured using a quartz-tungsten-halogen (QTH) light-curing unit (LCU) and a 473 nm diode-pumped solid state (DPSS) laser. Degree of conversion (DC), microhardness, refractive index, and polymerization shrinkage were evaluated under different energy densities. Through the study, the feasibility of DPSS laser as a light source was tested as well. RESULTS LS showed the highest DC and refractive index both on the top and bottom surfaces, and the least polymerization shrinkage among the tested specimens. For the same or similar energy density, QTH and DPSS showed insignificant DC difference (p>0.05). On the other hand, for microhardness, except for one case at the bottom surface, QTH and DPSS showed significant difference (p<0.001). DPSS generated slightly lower polymerization shrinkage than that by QTH. CONCLUSIONS DC, microhardness, refractive index, and polymerization shrinkage were linearly correlated with energy density. In most cases, there was a strong linear correlation among DC, mirohardness, and refractive index. The DPSS laser of 473 nm could polymerize low-shrinkage composite resins to the level that was achieved by the conventional QTH unit.

Management of white spots: resin infiltration technique and microabrasion

This case report compared the effectiveness of resin infiltration technique (Icon, DMG) with microabrasion (Opalustre, Ultradent Products, Inc.) in management of white spot lesions. It demonstrates that although neither microabrasion nor resin infiltration technique can remove white spot lesions completely, resin infiltration technique seems to be more effective than microabrasion. Therefore resin infiltration technique can be chosen preferentially for management of white spot lesions and caution should be taken for case selec

Relative efficacy of three Ni-Ti file systems used by undergraduates

The purpose of this study was to compare and evaluate the shaping ability of the three different Ni-Ti file systems used by undergraduate students. Fifty undergraduate students prepared 150 simulated curved root canals in resin blocks with three Ni-Ti file systems - (PF), Manual (MPT), Rotary (RPT). Every student prepared 3 simulated root canals with each system respectively. After root canal preparation, the Ni-Ti files were evaluated for distortion or breakage Assessments were made according to the presence of various types of canal aberrations. The pre- and post-instrumented canal images were attained and superimposed. The instrumented root canal width were measured and calculated for the net transportation (deviation) and the centering ratio. Under the condition of this study, both systems allowed significantly more removal of root canal wall than the system. In the important other aspects such as the centering ratio, there was no significant differences between the systems. Novice dental students were able to prepare curved root canals with any kinds of Ni-Ti file systems with little aberration and great conservation of tooth structure. Students want to learn effective methods and at the same time simple rotary procedures. The rotary systems were one of the most compatible to these students from the point of view of cutting ability The system was also compatible in safe and gentle shaping.

Effect of dentin pretreatment and curing mode on the microtensile bond strength of self-adhesive resin cements.

PURPOSE The aim was to evaluate the effect of curing mode and different dentin surface pretreatment on microtensile bond strength (µTBS) of self-adhesive resin cements. MATERIALS AND METHODS Thirty-six extracted human permanent molars were sectioned horizontally exposing flat dentin surface. The teeth were divided into 12 groups (3 teeth/group) according to the dentin surface pretreatment methods (control, 18% EDTA, 10% Polyacrylic acid) and curing mode (self-curing vs. light-curing) of cement. After pretreatment, composite resin blocks were cemented with the following: (a) G-CEM LinkAce; (b) RelyX U200, followed by either self-curing or light-curing. After storage, the teeth were sectioned and µTBS test was performed using a microtensile testing machine. The data was statistically analyzed using one-way ANOVA, Student T-test and Scheffes post-hoc test at P<.05 level. RESULTS For G-CEM LinkAce cement groups, polyacrylic acid pretreatment showed the highest µTBS in the self-cured group. In the light-cured group, no significant improvements were observed according to the dentin surface pretreatment. There were no significant differences between curing modes. Both dentin surface pretreatment methods helped to increase the µTBS of RelyX U200 resin cement significantly and degree of pretreatment effect was similar. No significant differences were found regarding curing modes except control groups. In the comparisons of two self-adhesive resin cements, all groups within the same pretreatment and curing mode were significantly different excluding self-cured control groups. CONCLUSION Selecting RelyX U200 used in this study and application of dentin surface pretreatment with EDTA and polyacrylic acid might be recommended to enhance the bond strength of cement to dentin.