Maria Erhardt

There is little information in the literature regarding the relationship between preparations made for direct and indirect veneers and the loss of tooth structure required for each technique. This in vitro study sought to quantify the different mass losses from preparation techniques used for direct and indirect veneers. Thirty artificial teeth were weighted using a digital balance and placed in a dental manikin in the position corresponding to the right maxillary central incisor. Five clinicians-all experts in esthetic dentistry-were asked to perform conventional preparations for both a direct composite resin veneer and an indirect ceramic veneer. After preparations, specimens were weighted again in the same digital balance. Teeth undergoing veneer preparations demonstrated a statistically significant mass loss compared to unprepared teeth. Indirect ceramic veneer preparations produced more mass loss than direct composite veneer preparations (P < 0.01).

To evaluate the laboratory resistance to degradation and the use of different bonding treatments on resin-dentin bonds formed with three self-etching adhesive systems. Flat, mid-coronal dentin surfaces from extracted human molars were bonded according to manufacturer's directions and submitted to two challenging regimens: (A) chemical degradation with 10% NaOC1 immersion for 5 hours; and (B) fatigue loading at 90 N using 50,000 cycles at 3.0 Hz. Additional dentin surfaces were bonded following four different bonding application protocols: (1) according to manufacturer's directions; (2) acid-etched with 36% phosphoric acid (H3PO4) for 15 seconds; (3) 10% sodium hypochlorite (NaOClaq) treated for 2 minutes, after H3PO4-etching; and (4) doubling the application time of the adhesives. Two one-step self-etch adhesives (an acetone-based: Futurabond/FUT and an ethanol-based: Futurabond NR/FNR) and a two-step self-etch primer system (Clearfil SE Bond/CSE) were examined. Specimens we...

To determine the microtensile bond strength (microTBS) of one- and two-step self-etch adhesives bonded to sound dentin conditioned or not with phosphoric acid (H3PO4) and sodium hypochlorite (H3PO4 + NaOCl). Extracted human third molars had their crowns transversally sectioned to expose flat dentin surfaces that were divided into four groups, and bonded as follow: (1) according to the manufacturers' directions, (2) acid etched with 36% H3PO4, and (3) 10% NaOCl treated for 2 minutes, after H3PO4 etching. Two two-step self-etching primers (Clearfil SE Bond/SEB and Resulcin/RE), and two one-step adhesives (One-Up Bond F/OUB and Etch & Prime 3.0/EP) were examined. Composite build-ups were constructed incrementally with Tetric Ceram. The specimens were stored in humidity for 24 hours at 37 degrees C and sectioned into beams of 1.0 mm2 cross-sectional area. Each beam was tested in tension in an Instron machine at 0.5 mm/minute, and mean microTBS data (MPa) were analyzed by 2-way ANOVA...

This study investigated the microtensile bond strength (microTBS) of a one-step self-etching adhesive to human dentin and bovine enamel following different bonding treatments. Occlusal portions of human molars and labial surfaces of bovine incisors were ground flat to provide uniform dentin and enamel surfaces, respectively. Futurabond was used following five different protocols: 1) according to the manufacturer's directions, 2) acid etched with 36% phosphoric acid (H3PO4) for 15 seconds, 3) 10% sodium hypochlorite (NaOCl) treated for two minutes after H3PO4-etching, 4) doubling the application time of the adhesive and 5) doubling the number of adhesive coats. Composite build-ups (6 mm in height) were constructed incrementally with Arabesk resin composite. The specimens were stored in 100% humidity for 24 hours at 37 degrees C and sectioned into beams of 1.0 mm2 cross-sectional area. Each beam was tested in tension in an Instron machine at 0.5 mm/minute, and mean microTBS data (MPa) were analyzed by one-way ANOVA and post-hoc multiple comparisons tests (alpha = 0.05). Doubling the application time of Futurabond attained the highest microTBS to dentin; whereas, no differences among all bonding application parameters evaluated could be detected when the adhesive was applied to enamel.

The purpose of this study was to investigate the surface roughness (Ra) of different esthetic restorative materials following simulated toothbrushing using different whitening dentifrices. Cylinders of Esthet-X (Dentsply Caulk, Milford, DE, USA), Durafil VS (Heraeus Kulzer, Wehrheim, Germany), and Vitremer (3M ESPE, St. Paul, MN, USA) were made using molds (4 mm in diameter for 2 mm in height). The superficial roughness was evaluated using a profilometer (Ra) with a cutoff length of 0.25 mm and a speed of 0.1 mm/s. The specimens (N=13) were submitted to 7,500 brushing cycles using five different toothpastes: (1) Crest Regular (control; Procter & Gamble): silica abrasive (C); (2) Crest Extra Whitening (Procter & Gamble, Cincinnati, OH, USA): bicarbonate+calcium pyrophosphate (CE); (3) Dental Care A & H (Arm & Hammer, Camilla, GA, USA): bicarbonate (DC); (4) Rembrandt Plus Whitening (Oral B Laboratories, Belmont, CA, USA): carbamide peroxide+alumina/silica (RP); and (5) experimental: hydrogen peroxide+calcium carbonate (EX). The data were analyzed by analysis of variance and Tukey's test (alpha=.05) for each restorative material, and the results [difference between final and initial roughness: Ra(F)-Ra(I) in microm] were as follows: Esthet-X: EX=0.15+0.07a; RP=0.29+0.16a; CE=0.96+0.33b; C=1.03+0.29b; DC=1.48+0.37b; Durafil VS: RP=0.09+0.07a; EX=0.55+0.23abc; C=0.96+0.26bc; CE=1.03+0.33cd; DC=1.09+0.37d; and Vitremer: EX=0.10+0.08a; RP=0.26+0.19a; CE=0.94+0.27b; DC=1.13+0.46bc; C=1.50+0.32c (different letters mean differences among groups). It was verified that the dentifrices containing carbamide or hydrogen peroxide along with alumina+silica and calcium carbonate, respectively (groups 4 and 5), produced minor changes in Ra when compared with the control group and with those dentifrices containing bicarbonate (groups 2 and 3). CLINICAL significance The results of this study indicate that whitening dentifrices evaluated containing silica or calcium carbonate were less abrasive when used on the resin-based esthetic restorative materials than those that contain sodium bicarbonate.

This study aimed to investigate if the use of protease inhibitors (EDTA and chlorhexidine) may influence microtensile bond strength (MTBS) of an etch-and-rinse adhesive system to caries-affected human dentin. Flat middle coronal dentin surfaces with a central region of caries-affected dentin surrounded by sound dentin were bonded with Adper Scotchbond 1 after: (1) etching with 35% H3PO4; (2) etching with 0.1M EDTA and (3) 35% H3PO4-etching followed by 5% chlorhexidine application. Resin composite build-ups were constructed incrementally and trimmed to yield hourglass specimens (0.8mm2 bonded area) that contained sound or caries-affected dentin (confirmed after debonding by microhardness measurements - KHN). Bonded specimens were tensioned at 0.5mm/min. Data were analyzed by ANOVA and multiple comparisons tests (p<0.05). Failure mode analysis was performed by scanning electron microscopy (SEM). H(3)PO(4), EDTA and chlorhexidine pre-treatments yielded similar MTBS values, in both dentin substrates. Bond strength to sound dentin was significantly higher than that to caries-affected dentin after H3PO4-etching. Caries-affected dentin exhibited lower KHN than sound dentin. Conditioning of caries-affected dentin with EDTA or a combined use with H3PO4 and chlorhexidine may be proposed as these protease inhibitors do not reduce MTBS to caries-affected dentin if compared to conventional H3PO4 treatment.

The objectives of this work were to study the spatially resolved extent of photopolymerization and the final volumetric contraction of the self-etching adhesive Xeno IV (Dentsply/Caulk, Milford, DE, USA) in association with the self-curing agent Aurora (Dentsply/Caulk, Milford, DE, USA), using (1)H Stray-Field magnetic resonance imaging ((1)H STRAFI-MRI). One-dimensional (1)H STRAFI-MRI images (projections along an axis, profiles) were acquired from the adhesive with and without Aurora, before and after solvent removal. Specimens were observed after the irradiation period recommended by the manufacturers and new profiles were recorded. Extent of polymerization and volumetric contraction were obtained by subtracting the profile of the cured adhesive from the profile of the liquid; the profiles were previously normalized using an external reference signal and the highest magnetization intensity recorded from the cured adhesive, respectively. Data were obtained in the presence of oxygen. Solvent evaporation was measured by gravimetry. High volumetric contraction was observed for Xeno IV and Xeno IV and Aurora mixture mainly related to solvent evaporation. A drying period favourably influenced the extent of photopolymerization of Xeno IV, which did not increase in the presence of Aurora. The incorporation of Aurora reduced the extent of polymerization of the one-step adhesive, probably due to the increase in the solvent content of the mixture. It may be that enhancing solvent evaporation is important in order to reach a higher extent of polymerization during the bonding procedure.

To evaluate resin-dentine bond degradation after 1 year of water storage. Human dentine surfaces were bonded with two etch-and-rinse self-priming adhesives (Single Bond/SB and Prime & Bond NT/PBNT), three 2-step self-etching adhesives (Clearfil SE Bond/SEB, Resulcin Aqua Prime/RES and Non-Rinse Conditioner with Prime & Bond NT/NRC-PBNT), and five 1-step self-etching adhesives (Etch & Prime 3.0/EP, Prompt L-Pop/PLP, Solist/SOL, Futurabond/FUT and AQ Bond/AQ). Adhesives were applied according to manufacturers' instructions. Composite build-ups were constructed and the bonded teeth were stored (24 h, 6 months, 1 year) in distilled water at 37 degrees C. After storage, the intact teeth were sectioned into beams and all specimens were tested for microtensile bond strengths (MTBS). ANOVA and multiple comparisons tests were applied at alpha = 0.05. Fractographic analysis of debonded beams was performed using scanning electron microscopy. SB, PBNT and SEB attained the highest MTBS, regardless of the storage period. A significant decrease in MTBS was observed after 6 months for SOL. After 12 months the only groups that did not reduce bond strength were SB and SEB. Bonded specimens in NRC-PBNT, RES and FUT produced pre-testing failures after 12 months, and MTBS could not be measured. The resistance of resin-dentine bonds to degradation is material-dependent. When the enamel-resin interface is preserved, the etch-and-rinse adhesives and the mild 2-step self-etch adhesive SEB exhibited the best resin-dentine bond durability. Those tested self-etching adhesives having a pH < or 1 and using water or acetone as solvent attained catastrophic bond failure after 1 year of water storage.

This article evaluates a pH-cycling model for simulation of caries-affected and caries-infected dentin (CAD and CID, respectively) surfaces, by comparing the bond strength of an etch-and-rinse and a self-etch adhesive system. For both adhesives, bonding to sound dentin (SD) showed that the microtensile bond strength (μTBS) values of SD, CAD, and CID were SD > CAD > CID (P < 0.05). Knoop microhardness number mean values followed the same trend. Adhesive systems were not able to totally penetrate into CAD and CID, forming more irregular resin-dentin interdiffusion zones and atypical resin tags than SD. The tested in vitro pH-cycling caries model allowed the evaluation of specific dentin substrate alterations in response to μTBS. The type of dentin and its histological structure played an important role in etch-and-rinse and self-etch bonding, as lower μTBS values were attained in CAD and CID.