Nilgun Ozturk

Change of shade by light polymerization in a resin cement polymerized beneath a ceramic restoration

OBJECTIVES The aim of this in vitro study was to examine the effect of the color changes of a resin cement material (Variolink II) polymerized beneath a simulated ceramic restoration (IPS Empress II) by two different light polymerizing units. METHODS A conventional halogen light and a light emitting diode unit were used to polymerize resin cement with catalyst. A pressable ceramic block (10mm in diameter, 2 or 1mm in height) was used as an interface between the polymerizing light tip and resin cement. Colorimetric values of the specimens before and after polymerization were measured using a spectrophotometer (Easy Shade). The CIE L*a*b color system was used for the determination of the color difference. Differences between measurements were calculated as delta E*(ab). Repeated measurements analysis of variance (ANOVA) was used to analyze the data (polymerization of resin cement, polymerizing unit and ceramic thickness) for significant differences. The Tukey HSD test and paired two-tailed tests were used to perform multiple comparisons (alpha=.05). RESULTS L*a*b values of ceramic system were affected by the polymerization of resin cement (before and after) (P<.01). The a* value was affected by polymerization unit (P<.05), however L* and b* values were not affected by the light polymerization unit (P>.05). The b* value was affected by ceramic thickness (1 or 2mm) (P<.05), but L* and a* values were not affected by ceramic thickness (P>.05). The specimens polymerized beneath 1mm ceramic thickness with conventional halogen light induced a significantly higher color changes than any other specimen (P<.05). CONCLUSIONS The results of this in vitro study suggest that light polymerization of the resin cement (Variolink II) used in this study is an important factor for the color of the definitive restoration and should be considered during shade selection and fabrication.

Antibacterial effect of dental cements evaluated using agar diffusion test

Purpose: Secondary caries can occur around the restoration, fixed prosthesis, and orthodontic band margins because of cariogenic bacteria. Long-lasting antibacterial effectiveness of dental cements used contemporarily can reduce this phenomenon. The purpose of this study was to examine the antibacterial activities of nine dental cements (BisCem®, Super-Bond C&B, Rely XTM, PanaviaTM F 2.0, Variolink® II, UnitekTM Multi Cure, Multilink® Automix, ClearfilTM Esthetic Cement, TransbondTM LR) using agar diffusion test. Materials and methods: The test materials were inserted into the wells of Muller Hinton agar plates inoculated with Streptococcus mutans and Streptococcus salivarious. The diameters of the inhibition zones produced around the materials were measured after 24 h of incubation. Two-Way ANOVA, the Kruskal-Wallis, and the Mann–Whitney U tests at a significance level of p < 0.05 were analyzed for the results. Results: Unitek Multi Cure cement exhibited a significant difference from the control group against both S. mutans and S. salivarious (p < 0.05). While the zone of inhibition of Unitek Multi Cure cement was shorter (8.50 ± 1.77) than the control group (12.63 ± 1.30), Unitek Multi Cure had antibacterial effect against S. mutans and S. salivarious (p < 0.05). S. mutans displayed a significantly lower resistance to Unitek Multi Cure, BisCem, and Superbond C&B than S. salivarious (p < 0.05). Conclusion: Conventional glass ionomer cement, Unitek Multi Cure, exhibited greatest in vitro antibacterial activity against both S. mutans and S. salivarious. Formation of dental caries had been suppressed by the fluoride-releasing GICs.

Push-out bonding strengths of four different dowel systems luted with two different adhesive systems

This in vitro study investigates the bonding capacity of resin cements to dowels, using the push-out bonding strength of four different dowel systems, namely, stainless steel dowels (SSD), resin-supported polyethylene fiber dowels (RSPFD), zirconia dowels (ZD), and superpost glass fiber dowels (GFD), luted in root canals, using two different resin cements, namely, Multilink Automix Cement and Clearfil Esthetic Cement. Ninety-six maxillary central incisor teeth were sectioned below the cementoenamel junction, and the roots were treated endodontically. Then the roots were placed into four groups, based on the dowel systems used. The roots were further placed into two subgroups, based on the cement type used as subgroup A and subgroup B. Push-out bonding tests were performed on the bonded specimens, which were cut into 1 mm thick sections. A two-way ANOVA test and Tukey’s HSD tests were performed. The push-out bonding strength values for SSD, ZD, and RSPFD were not significantly different (p > 0.05). The means for GFD were significantly higher than the means for ZD (p < 0.05) when Multilink Automix Cement was used. However, when Clearfil Esthetic Cement was used, the means for RSPFD were significantly higher (p < 0.001) than the means for the other systems. When Clearfil Esthetic Cement was used, the RSPF dowel system provided significantly higher bonding strength values than the other systems.