Şenay Canay

The effect of current bleaching agents on the color of light-polymerized composites in vitro

STATEMENT OF PROBLEM Bleaching agents may affect the color of existing composite restorations. PURPOSE The purpose of this study was to compare the effect of 10% carbamide peroxide and 10% hydrogen peroxide on the color of light-polymerized hybrid, macrofilled, and polyacid-modified composites. MATERIAL AND METHODS Two light-polymerized hybrid composites (3M Valux and Spectrum TPH), 1 macrofilled condensable composite (Solitaire), and 2 polyacid-modified composites (Dyract AP and Compoglass) were used. The hybrid composites served as controls. The color of 8 specimens of each material was analyzed by use of a spectrophotometer before bleaching. The specimens were then divided randomly into 2 subgroups (n=4). One group was immersed in 10% carbamide peroxide solution and the other in 10% hydrogen peroxide, for 8 hours each for 14 consecutive days. After bleaching, color changes (Delta E) were determined for each material and compared by use of the Kruskal-Wallis test, followed by the Mann-Whitney U test (P<.05). RESULTS After bleaching with carbamide peroxide, the color changes (Delta E) for Dyract AP (2.18; SD = 1.41), Compoglass (1.14; SD = 0.26) and Solitaire (1.56; SD = 0.89) were higher than the color changes recorded for 3M Valux (0.63; SD = 3.60), and Spectrum TPH (0.66; SD = 1.24). The differences between materials bleached with carbamide peroxide were not statistically significant. After bleaching with hydrogen peroxide, the color changes for Dyract AP (9.39; SD = 0.53) and Compoglass (5.15; SD = 0.52) were higher than the changes recorded for Spectrum TPH (4.53; SD = 1.53) and 3M Valux (3.41; SD = 4.40), whereas the color change of Solitaire (3.69; SD = 0.57) was significantly higher than that of 3M Valux (P=.01). The color changes for all restorative materials tested were clinically detectable after the application of 10% hydrogen peroxide. However, clinically noticeable discoloration was observed only for Dyract AP treated with 10% carbamide peroxide. CONCLUSION In comparison to 10% carbamide peroxide, 10% hydrogen peroxide caused more color changes in the composites tested.

The effect of enamel air abrasion on the retention of bonded metallic orthodontic brackets.

The purpose of this study was to compare the conventional acid-etch technique with an air abrasion surface preparation technique. Eighty freshly extracted noncarious human premolar teeth were randomly divided into the following 4 groups: (1) acid etched with 37% phosphoric acid for 15 seconds (Express Dental Products, Toronto, Canada), (2) sandblasted with 50 mu aluminum oxide by a microetcher (Danville Engineering Inc, Danville, Calif), (3) polished with pumice followed by acid etched with 37% phosphoric acid for 15 seconds, (4) sandblasted with 50 mu aluminum oxide by a microetcher followed by acid etched with 37% phosphoric acid for 15 seconds. All the groups had stainless steel brackets (Dentaurum, Standard Edgewise) bonded to the buccal surface of each tooth with no-mix adhesive (Express Dental Products, Toronto, Canada). A Lloyd testing machine (Lloyd Instrument LR 30K; Segensworth West, Foreham, UK) was used to determine tensile bond strengths at a crosshead speed of 0.5 mm/sec. The mean bond strength values of these are as follows: the only sandblasted group was 38.05 +/- 9.93 N; the only acid-etched group was 62.72 +/- 11.44 N; the group that was polished with pumice followed by acid etched was 69.78 +/- 14.87 N; and the group that was sandblasted followed by acid etched was 89.31 +/- 13. 34 N. The statistical analysis was done by an analysis of variance and Scheff¿e test. The sandblasting followed by acid etching group had significantly higher bond strength values when compared to the other 3 groups. This study showed that sandblasting should be followed by acid etching to produce enamel surfaces with comparable bond strength. The current findings indicate that enamel surface preparation using sandblasting with a microetcher alone results in a significantly lower bond strength and should not be advocated for clinical use as an enamel conditioner.

Diametral Tensile and Compressive Strengths of Several Types of Core Materials

PURPOSE Compressive and diametral tensile strengths (DTSs) of core materials are thought to be important, because cores usually replace a large bulk of tooth structure and should provide sufficient strength to resist intraoral tensile and compressive forces. This study was undertaken to compare the mechanical properties of materials used for direct core foundations. MATERIAL AND METHODS The differences between the compressive and DTSs of six core materials, including Duralloy (high-copper amalgam), Grandio (visible light-cured nanohybrid resin composite), Admira (organically modified ceramic), Filtek P60 (packable composite resin), Rebilda DC (dual-cure adhesive core material), and Argion Molar (silver-reinforced glass ionomer cement), were tested. A total of 120 specimens, half for the compressive strength (CS) test (6 mm in height, 4 mm in diameter) and the other half for the DTS test (6 mm in diameter, 3 mm in thickness), were prepared. The specimens were stored at room temperature in distilled water for 7 days. The Lloyd testing machine was used to load the specimens at a crosshead speed 0.5 cm/min, and the strength values were determined in MPa. RESULTS The compressive and DTS test values (in MPa), respectively, of the materials were: Admira (361, 44); Filtek P60 (331, 55); Grandio (294, 53); Rebilda DC (279, 42); Duralloy (184, 40); and Argion Molar (107, 9). Kruskal-Wallis test was computed, and multiple comparisons test discerned many differences among materials (p < 0.05). CONCLUSION Packable composite resin (Filtek P60), visible light cured nanohybrid resin composite (Grandio), and organically-modified ceramic (Admira) had higher compressive and DTS values than the other materials.

Effect of muscle relaxation splint therapy on the electromyographic activities of masseter and anterior temporalis muscles.

The purpose of this study was to compare the effectiveness of splint therapy on the electromyographic activity of masticatory muscles (anterior temporalis and masseter) before and after the application of a muscle relaxation splint. Electromyography recordings from the masseter and anterior temporalis muscles were analyzed quantitatively during maximal biting in the intercuspal position both before and after treatment without a splint. Fourteen patients whose chief complaint was masticatory muscle pain were selected for the study. After the initial evaluations muscle relaxation splints were applied, and the patients were instructed to use the splints for 6 weeks. Surface electromyographic recordings were taken from each patient before the beginning of clinical therapy and after 6 weeks of wearing the splints. The data obtained were analyzed through paired sample t tests and Wilcoxons signed rank tests. The results of the study were as follows: (1) the electromyographic activity of the two muscles during maximal biting was not markedly changed after the muscle relaxation splint was used; and (2) the changes observed in electromyographic activity of the involved and noninvolved sides were insignificant as well.

Comparison of 3 luting agents on retention of implant-supported crowns on 2 different abutments.

Background:For fixed prostheses, retention is one of the most important factors for clinical success. It is unknown whether grooves that increase surface area of implant abutment while retaining the diameter and wall height provide greater uniaxial retention force. The purpose of this study was to determine the retention of 3 different cements on 2 implant abutments with different surface configurations. Materials and Methods:Thirty samples on 2 different abutments (a total of 60 crowns) with different margin and axial walls configuration and surface area were used. Metal crowns were fabricated on the abutment and cemented with 3 different (zinc-phosphate [ZP], glass ionomer [GI], or eugenol-free zinc oxide [ZO]) cements. After cementation, implant-abutment-casting assemblies were thermal cycled 1000 times with 1-minute dwell-time between 5°C and 55°C then subjected to tensile test with universal testing machine until decementation occurred. The mean force required to dislodge castings from abutment was determined. Results:The luting agents influenced retention of castings on implant abutments, whereas different surface configurations and total surface area of the abutments did not influence the uniaxial retention forces. Among the cements tested, ZP exhibited higher values of retention, followed by GI and eugenol-free ZO. Conclusions:The increase in surface area of abutment did not result in improved retention. The present results suggest using ZP rather than GI and eugenol-free ZO in implant-supported crowns to provide higher retention.

Comparison of implant versus tooth-supported zirconia-based single crowns in a split-mouth design: a 4-year clinical follow-up study

ObjectivesThis study aims to evaluate the 4-year clinical performance of tooth versus implant-supported single-unit zirconia crowns (LAVA™) placed on posterior region.Materials and methodsTwenty-four patients (10 men and 14 women) who had received 48 single crowns (24 implant-supported and 24 tooth-supported) from January 2007 to December 2009, were included. California Dental Association (CDA) quality assessment system, plaque and gingival index scores were used to evaluate the performance of the crowns at baseline and at all follow-up examinations.ResultsDuring the follow-up period, no fracture of zirconia coping has occurred. Major complication was chipping in three patients that required a new crown fabrication. Except for the failure ones, all crowns in both groups were rated as satisfactory at the follow-up examinations based on the CDA quality assessment criteria. There were no statistically significant differences between tooth and implant-supported crowns in terms of periodontal parameters.ConclusionsThe present 4-year follow-up clinical study demonstrates that single-unit tooth- and implant-supported zirconia crowns have similar prosthetic and periodontal outcomes.Clinical relevanceSingle-unit implant or tooth-supported zirconia crowns may be considered acceptable treatment modalities for restoration of either missing or compromised posterior teeth