Masao Irie

Marginal gap formation of light-activated restorative materials : effects of immediate setting shrinkage and bond strength

OBJECTIVES The purpose of this study was to explore multiple correlations between shrinkage, bonding and marginal gap parameters, immediately after light-activation, for three classes of restorative materials. The correlations of interest were between: (a) their marginal gap formation in tooth cavities, (b) their free setting shrinkage-strain determined by two different measurement methods ((i) the marginal gap-width in a non-bonding Teflon cavity and (ii) a linear (diametral) measure of shrinkage-strain), and (c) their shear bond strengths to enamel and to dentin. METHODS The maximum marginal gap width and the opposing width (if any) in the tooth cavity were measured immediately (3 min) after light-activation. Two factors for the setting shrinkage-strain and the shear bond strength to enamel and to dentin were measured concomitantly. RESULTS Out of the set of restorative materials investigated, those that produced a smaller marginal gap in the tooth cavity had a smaller marginal gap in the Teflon cavity. There was a highly significant correlation between the two parameters (r=0.914, p<0.001). However, no relationship was observed between the marginal gap in the tooth cavity and the immediate diametral shrinkage-strain (p>0.05). Thus the restorative materials that produced a smaller marginal gap in the tooth cavity did not generally have a smaller diametral setting shrinkage-strain. Furthermore, no relationship was observed between the marginal gap in the tooth cavity and the shear bond strength to enamel or to dentin (p>0.50). SIGNIFICANCE For light-activated restorative materials during the early stage of setting (<5 min), the free shrinkage-strain, measured by marginal-gaps in Teflon cavities, had a greater correlation with immediate marginal-gaps in tooth cavities than either the immediate diametral shrinkage-strain or the bond strengths to the tooth structure.

Current luting cements: marginal gap formation of composite inlay and their mechanical properties

OBJECTIVE The aims of this investigation were to investigate the effect of thermocycling on the marginal gap formation of composite inlays using three types of luting cements (Compolute, PermaCem, Fuji Plus, Panavia 21: as a control) and on mechanical properties of four luting cements. METHODS The maximum marginal gap in the dentin cavity of each of ten resin inlay specimens in each group, was measured by a microscope before and after 10,000 thermocycles. The dimensional change, shear bond strength to dentin, and material and conditions for flexural strength and modulus testing were examined. RESULTS Compolute and Panavia 21 showed marginal gaps of approximately 10 microm before thermocycling. In contrast, the gap widths after thermocycling was significantly wider. Although the gap widths of PermaCem and Fuji Plus were approximately 60-110 microm prior to thermocycling, they were significantly smaller in width after thermocycling. Statistical differences in the shear bond strength to dentin were not observed before or after thermocycling for all materials. The flexural strength and modulus were significantly increased after thermocycling compared with three products and with all four products, respectively. SIGNIFICANCE The mechanical properties of all four luting cements were closely related to their marginal gap formations and these mechanical factors have important roles in determining their marginal gap formations.

Marginal and flexural integrity of three classes of luting cement, with early finishing and water storage.

OBJECTIVES The aims of this investigation were to clarify the effects of finishing-time and 24 h water-storage on mechanical properties and marginal adaptation to dentin of seven modern luting cements, representing three chemical types. METHODS Bistite II, Chemiace II, Compolute, XenoCem, PermaCem, Fuji Cem and Fuji Plus were investigated with specimen sub-groups (N=10) for each property measured. The principal series of experiments was conducted in dentin cavities with interfacial polishing either immediately (3 min) after setting or after 24 h water-storage. After the finishing procedure, the maximum marginal gap width and the opposing width (if any) per cavity were measured microscopically, and summed. Then the overall sum of gap-widths (per group; N=10) was calculated. Marginal gaps were similarly measured in Teflon cavities, together with shear-bond-strengths to dentin and early flexural strengths, moduli and swelling data. RESULTS For specimen-sets polished immediately after setting, summed marginal gaps of 23-121 microm were observed, for all luting cements except Compolute. A significantly different (p<0.05) result of either no gap or 6-28 microm summed gap-widths occurred in specimens polished after 24 h. For all materials, their shear-bond-strengths, flexural strength and moduli significantly increased after 24 h storage. SIGNIFICANCE The marginal behavior can be interpreted in terms of the contributions of bonding, shrinkage, swelling and compliance of components, along with compositional features of the cements. With these types of cement it is generally inadvisable to polish the interfacial luting surface immediately after cementing. The polishing procedures should be carried out not less than 24 h later. One resin-cement was able to withstand immediate finishing.

Marginal gap formation of light-activated base/liner materials: effect of setting shrinkage and bond strength.

OBJECTIVES The purpose of this study was to compare the effect of setting shrinkage and the shear bond strength on the marginal gap formation in dentin cavities of commercially available light-activated base/liner materials during the early stage of setting, with those of chemical-cured base/liner materials. METHODS The maximum marginal gap width and the opposing width in the dentin cavity was measured 30 min after the start of mixing. The setting shrinkage and shear bond strength to dentin was measured as the same procedure. To estimate the setting shrinkage, the maximum marginal gap width and the opposing width that occurred with materials placed in a Teflon cavity was measured. RESULTS The two light-activated base/liner materials produced a significantly wider marginal gap than the chemical-cured base/liner materials (p < 0.05). There were no significant differences in the width of the marginal gap between the remaining five light-activated base/liner and chemical-cured base/liner materials (p > 0.05). The material that produced the smaller marginal gap width in the dentin cavity had a smaller marginal gap width in the Teflon cavity. There was a highly significant correlation between the two findings (r = 0.93, p < 0.01). However, shear bond strength to dentin had no effect on the marginal gap in the dentin cavity (r = 0.04, p > 0.50). SIGNIFICANCE It appeared that the setting shrinkage of light-activated base/liner materials in the early stage of setting had a greater effect on the marginal gap formation in the dentin cavity than the bond strength to the dentin structure.

Class I Gap-formation in Highly-viscous Glass-ionomer Restorations: Delayed vs Immediate Polishing

This in vitro study evaluated the effects of delayed versus immediate polishing to permit maturation of interfacial gap-formation around highly viscous conventional glass-ionomer cement (HV-GIC) in Class I restorations, together with determining the associated mechanical properties. Cavity preparations were made on the occlusal surfaces of premolars. Three HV-GICs (Fuji IX GP, GlasIonomer FX-II and Ketac Molar) and one conventional glass-ionomer cement (C-GIC, Fuji II, as a control) were studied, with specimen subgroups (n=10) for each property measured. After polishing, either immediately (six minutes) after setting or after 24 hours storage, the restored teeth were sectioned in a mesiodistal direction through the center of the model Class I restorations. The presence or absence of interfacial-gaps was measured at 1000x magnification at 14 points (each 0.5-mm apart) along the cavity restoration interface (n=10; total points measured per group = 140). Marginal gaps were similarly measured in Teflon molds as swelling data, together with shear-bond-strength to enamel and dentin, flexural strength and moduli. For three HV-GICs and one C-GIC, significant differences (p<0.05) in gap-incidence were observed between polishing immediately and after one-day storage. In the former case, 80-100 gaps were found. In the latter case, only 9-21 gaps were observed. For all materials, their shear-bond-strengths, flexural strength and moduli increased significantly after 24-hour storage.

Chemical interaction mechanism of 10-MDP with zirconia

Currently, the functional monomer 10-methacryloyloxy-decyl-dihydrogen-phosphate (10-MDP) was documented to chemically bond to zirconia ceramics. However, little research has been conducted to unravel the underlying mechanisms. This study aimed to assess the chemical interaction and to demonstrate the mechanisms of coordination between 10-MDP and zirconium oxide using 1H and 31P magic angle spinning (MAS) nuclear magnetic resonance (NMR) and two dimensional (2D) 1H → 31P heteronuclear correlation (HETCOR) NMR. In addition, shear bond-strength (SBS) tests were conducted to determine the effect of 10-MDP concentration on the bonding effectiveness to zirconia. These SBS tests revealed a 10-MDP concentration-dependent SBS with a minimum of 1-ppb 10-MDP needed. 31P-NMR revealed that one P-OH non-deprotonated of the PO3H2 group from 10-MDP chemically bonded strongly to zirconia. 1H-31P HETCOR NMR indicated that the 10-MDP monomer can be adsorbed onto the zirconia particles by hydrogen bonding between the P=O and Zr-OH groups or via ionic interactions between partially positive Zr and deprotonated 10-MDP (P-O−). The combination of 1H NMR and 2D 1H-31P HETCOR NMR enabled to describe the different chemical states of the 10-MDP bonds with zirconia; they not only revealed ionic but also hydrogen bonding between 10-MDP and zirconia.

Flexural properties of polyethylene, glass and carbon fiber-reinforced resin composites for prosthetic frameworks

Abstract Objective. High flexural properties are needed for fixed partial denture or implant prosthesis to resist susceptibility to failures caused by occlusal overload. The aim of this investigation was to clarify the effects of four different kinds of fibers on the flexural properties of fiber-reinforced composites. Materials and methods. Polyethylene fiber, glass fiber and two types of carbon fibers were used for reinforcement. Seven groups of specimens, 2 × 2 × 25 mm, were prepared (n = 10 per group). Four groups of resin composite specimens were reinforced with polyethylene, glass or one type of carbon fiber. The remaining three groups served as controls, with each group comprising one brand of resin composite without any fiber. After 24-h water storage in 37°C distilled water, the flexural properties of each specimen were examined with static three-point flexural test at a crosshead speed of 0.5 mm/min. Results. Compared to the control without any fiber, glass and carbon fibers significantly increased the flexural strength (p < 0.05). On the contrary, the polyethylene fiber decreased the flexural strength (p < 0.05). Among the fibers, carbon fiber exhibited higher flexural strength than glass fiber (p < 0.05). Similar trends were observed for flexural modulus and fracture energy. However, there was no significant difference in fracture energy between carbon and glass fibers (p > 0.05). Conclusion. Fibers could, therefore, improve the flexural properties of resin composite and carbon fibers in longitudinal form yielded the better effects for reinforcement.

Vertical and horizontal polymerization shrinkage in composite restorations

OBJECTIVE Polymerization shrinkage developed in vertical and horizontal directions after light activation of light-curing composite restorative materials. The purpose of this study was to examine the effects of vertical and horizontal polymerization shrinkage on: (a) dimensional changes of resin composites in tooth cavities; (b) shear bond strengths to enamel and dentin; and (c) marginal gap width in a non-reacting Teflon mold. METHODS Vertical and horizontal polymerization shrinkage in tooth cavities were measured immediately (3 min) after light activation. With the same time lapse, shear bond strengths to enamel and dentin and marginal gap widths in Teflon mold were also measured. RESULTS There was a significant correlation between vertical and horizontal polymerization shrinkage (r=0.647, p=0.043) in the tooth cavity. Composite materials which produced small vertical shrinkage also produced smaller horizontal shrinkage. Composite materials which produced small vertical shrinkage in the tooth cavity exhibited greater shear bond strengths to both enamel (r=-0.697, p=0.025) and dentin (r=-0.752, p=0.012). Composite materials which produced smaller horizontal shrinkage produced smaller marginal gap widths in the Teflon mold (r=0.829, p=0.003). No relationships were observed between horizontal shrinkage in the tooth cavity and shear bond strengths to both enamel and dentin (p>0.05). SIGNIFICANCE During the early stage of setting (<3 min) in tooth cavities, the vertical shrinkage of light-activated composite restorative materials was correlated with horizontal shrinkage.

Effect of 10 wt% spherical silica filler addition on the various properties of conventional and resin-modified glass-ionomer cements.

In this study, we evaluated the effects of 10 wt% spherical silica filler (SSF) addition on 24-h compressive strength, modulus of elasticity, water uptake, and immediate setting shrinkage of conventional glass-ionomer (Fuji II and Experimental) and resin-modified glass-ionomer (Fuji II LC EM) cements. The glass-ionomer cement powders were modified by being mixed with 10 wt% SSFs with an average particle diameter of 0.3 μm. The materials were mixed to consistencies similar to the flow of Fuji II mixed with a powder-liquid ratio of 2.7∶1 (w/w). The 24-h compressive strength, modulus of elasticity, water uptake, and immediate setting shrinkage were observed and the results compared with the original materials mixed with similar flow. The addition of SSF increased the compressive strength value to 1.1 times, while the increase of moduli of elasticity was 1.10 to 1.35 times. In general, the addition of SSF decreased the 24-h water uptake to 80–90% and reduced the immediate setting shrinkage to 70–79% of the original materials. The addition of 10 wt% SSF improved the characteristics of conventional and resin-modified glass-ionomer cement.

Various Effects of Sandblasting of Dental Restorative Materials

Background Sandblasting particles which remain on the surfaces of dental restorations are removed prior to cementation. It is probable that adhesive strength between luting material and sandblasting particle remnants might exceed that with restorative material. If that being the case, blasting particles adhere to sandblasted material surface could be instrumental to increasing adhesive strength like underlying bonding mechanism between luting material and silanized particles of tribochemical silica coating-treated surface. We hypothesize that ultrasonic cleaning of bonding surfaces, which were pretreated with sandblasting, may affect adhesive strength of a resin luting material to dental restorative materials. Methods We therefore observed adhesive strength of resin luting material to aluminum oxide was greater than those to zirconia ceramic and cobalt-chromium alloy beforehand. To measure the shear bond strengths of resin luting material to zirconia ceramic and cobalt-chromium alloy, forty specimens of each restorative material were prepared. Bonding surfaces were polished with silicon abrasive paper and then treated with sandblasting. For each restorative material, 40 sandblasted specimens were equally divided into two groups: ultrasonic cleaning (USC) group and non-ultrasonic cleaning (NUSC) group. After resin luting material was polymerized on bonding surface, shear test was performed to evaluate effect of ultrasonic cleaning of bonding surfaces pretreated with sandblasting on bond strength. Results For both zirconia ceramic and cobalt-chromium alloy, NUSC group showed significantly higher shear bond strength than USC group. Conclusions Ultrasonic cleaning of dental restorations after sandblasting should be avoided to retain improved bonding between these materials.