Browsing by Subject "Dentin"
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Item The ability of new intracanal medicaments to prevent the formation of multi-species biofilm on radicular dentin(2017) Jacobs, Jordon C.; Spolnik, Kenneth J.; Ehrlich, Ygal; Gregory, Richard L.; Yassen, Ghaeth; Bringas, JosefThe residual antibacterial effects of antimicrobials used in endodontic regeneration against biofilm bacteria obtained from immature and mature teeth Jordon C. Jacobs DDS, Richard L Gregory PhD, Ygal Ehrlich DMD, Kenneth Spolnik DDS, MS, Josef S. Bringas DMD, DDS, MS, and Ghaeth Yassen BDS, MSD, PhD We explored the residual antibacterial properties of dentin pretreated with low concentrations of double antibiotic paste (DAP) against biofilm bacteria obtained from different clinical sources. Dentin blocks were sterilized and randomized into 4 treatment groups and 2 control groups (n=20). Blocks from treatment groups were pretreated with DAP (1 or 5 mg/ml) loaded into methylcellulose, calcium hydroxide (Ca(OH)2), or methylcellulose paste. After one week, the treatment pastes were removed and all blocks were immersed in PBS. The dentin blocks from treatment groups and one of the control groups were then inoculated with bacterial isolates obtained from immature or mature teeth with pulpal necrosis(n=10). The remaining control group received no bacteria and was used as a sterile control. Blocks were then incubated anaerobically for 3 weeks. Biofilm disruption assays were conducted for all samples. Two-way ANOVA and pair-wise comparisons were used for statistical analyses. The residual antibacterial effect of dentin pretreated with 5 mg/ml of DAP was significantly higher than all other groups regardless of the source of biofilm. Dentin pretreated with 1 mg/ml of DAP demonstrated significantly higher residual antibacterial effects in comparison to dentin pretreated with placebo paste and Ca(OH)2 only in bacterial isolates obtained from mature teeth with pulpal necrosis. Dentin pretreated with Ca(OH)2 did not demonstrate any residual antibacterial effects. Dentin pretreated with 1 or 5 mg/ml of DAP demonstrated significantly better residual antibacterial effects against biofilm bacteria obtained from mature teeth with pulpal necrosis in comparison to bacterial isolates obtained from immature teeth with pulpal necrosis.Item Age effect on presence, susceptibility and treatment of erosive tooth wear(2018) Algarni, Amnah Abdullah; Hara, Anderson T.; Lippert, Frank; Platt, Jeffrey A.; González-Cabezas, Carlos; Ungar, PeterErosive tooth wear (ETW) is a growing dental condition often associated with aging. This in-vitro project comprised three studies aiming to investigate the impact of tooth age on ETW susceptibility and prevention. In the first study, un-identified extracted premolars were collected and had their ages estimated using validated dental forensic methods. The premolars were examined to investigate the relationship between age and presence and severity of ETW, as well as other main dental-hard tissues conditions. ETW, dental caries, fluorosis, extrinsic staining and tooth color were evaluated using established clinical indices. In the second study, the tooth age impact on ETW susceptibility and response to preventive treatments (Sn+F, NaF, and de-ionized water control) were evaluated using representative samples from the initial study. Enamel and dentin specimens were prepared and subjected to daily erosion-treatmentremineralization cycling procedure. Surface loss (SL) was determined during and after the cycling, by optical profilometry. Similar protocol was adopted in the third study with the addition of toothbrushing abrasion to the model, in order to explore the interplay between age and toothpaste abrasivity on erosion-abrasion development. SL was measured during and after the erosion-toothbrushing-remineralization cycling. The relationships between age and the investigated variables were assessed using linear regression models. In conclusion: 1. The presence and severity of ETW, dental caries, and extrinsic staining increased with age, while of enamel fluorosis decreased. Tooth also showed to be darker with age. 2. Susceptibility of enamel and dentin to demineralization increased with age. Sn+F showed the highest anti-erosive efficacy, and was not affected by age. NaF showed lower efficacy on dentin, which increased with age. 3. Enamel and dentin SL increased with toothpaste abrasivity level. Dentin SL also increased with age. Age effect on enamel SL was observed only with low abrasive toothpaste. Age-related changes on enamel and dentin affected ETW development.Item The association between deciduous dentin sclerosis and calcium hydroxide methyl cellulose base material(1958) Klein, Arthur Irving, 1922-Seventy five children in the early mixed dentition stage with operative dentistry completed on 351 deciduous teeth were observed from 4 to 28 months with periodic bitewing radiographs taken at intervals of from 4 to 10 months. These cases contained 191 deciduous teeth in which a calcium hydroxide methyl cellulose base material was placed beneath the alloy restorations (test teeth) and 160 deciduous teeth in which no base material was utilized beneath the alloy restorations (control teeth). In each instance all carious dentin was removed before the base material or restoration was completed. A visual densitometric evaluation utilizing sclerotic index which is an estimation of the occurrence and intensity of dentin sclerosis by inspection of bitewing radiographs. This evaluation indicates that 93% of the test teeth gave evidence of dentin sclerosis beneath the area of calcium hydroxide base material while 99% of the control teeth showed no radiographic evidence of dentin sclerosis. An instrumental densitometric evaluation was made of the projected bitewing x-ray film images of 115 deciduous teeth utilizing the Elwood Densitometer. The results of this evaluation indicate a localized increase of dentin sclerosis, or dentin calcification. Ranging from 0% to 125% in the test teeth, immediately beneath the calcium hydroxide base material. The control teeth showed an increased dentin density range of from 0% to 20% immediately beneath the alloy restoration. Histologic examination, both ground and deca1cified sections, Were made of 20 deciduous teeth with and without calcium hydroxide ethyl cellulose base material beneath their alloy restorations. The sections indicated that the sclerotic areas seen radiographically beneath the calcium hydroxide base material cannot be correlated with the histologic picture. Microscopically this shows a markedly irregular secondary dentin characterized by a definite diminution of dentinal tubules, with an increased amount of dentin matrix. These changes could have taken place as a result of age, caries or cavity preparation. From the results of this research it is apparent that a calcium hydroxide methyl cellulose base material is effective in the production of sclerotic dentin in deciduous teeth. There is no doubt that the “white area” seen radiographically is an area of sclerosis of the existing dentin and not an area of recalcification of carious dentin.Item Chlorhexidine-modified nanotubes and their effects on the polymerization and bonding performance of a dental adhesive(Elsevier, 2020-05) Kalagi, Sara; Feitosa, Sabrina A.; Münchow, Eliseu A.; Martins, Victor M.; Karczewski, Ashley E.; Cook, N. Blaine; Diefenderfer, Kim; Eckert, George J.; Geraldeli, Saulo; Bottino, Marco C.; Cariology, Operative Dentistry and Dental Public Health, School of DentistryObjectives: The purpose of this study was to synthesize chlorhexidine (CHX)-encapsulated aluminosilicate clay nanotubes (Halloysite®, HNTs) and to incorporate them into the primer/adhesive components of an etch-and-rinse adhesive system (SBMP; Scotchbond Multipurpose, 3M ESPE) and to test their effects on degree of conversion, viscosity, immediate and long-term bonding to dentin. Methods: CHX-modified HNTs were synthesized using 10% or 20% CHX solutions. The primer and the adhesive components of SBMP were incorporated with 15wt.% of the CHX-encapsulated HNTs. Degree of conversion (DC) and viscosity analyses were performed to characterize the modified primers/adhesives. For bond strength testing, acid-etched dentin was treated with one of the following: SBMP (control); 0.2%CHX solution before SBMP; CHX-modified primers+SBMP adhesive; SBMP primer+CHX-modified adhesives; and SBMP primer+CHX-free HNT-modified adhesive. The microtensile bond strength test was performed after immediate (24h) and long-term (6 months) of water storage. Data were analyzed using ANOVA and Tukey (α=5%) and the Weibull analysis. Results: DC was greater for the CHX-free HNT-modified adhesive, whereas the other experimental adhesives showed similar DC as compared with the control. Primers were less viscous than the adhesives, without significant differences within the respective materials. At 24h, all groups showed similar bonding performance and structural reliability; whereas at the 6-month period, groups treated with the 0.2%CHX solution prior bonding or with the CHX-modified primers resulted in greater bond strength than the control and superior reliability. Significance: The modification of a primer or adhesive with CHX-encapsulated HNTs was an advantageous approach that did not impair the polymerization, viscosity and bonding performance of the materials, showing a promising long-term effect on resin-dentin bonds.Item Effect of Chlorhexidine-Encapsulated Nanotube-Modified Adhesive System on the Bond Strength to Human Dentin(2019) Kalagi, Sara Arfan; Cook, N. Blaine; Diefenderfer, Kim; Bottino, Marco; Feitosa, SabrinaIntroduction: The resin-dentin interface undergoes degradation by endogenous matrix metalloproteinases (MMPs) after adhesive procedures. Application of several MMP inhibitors such as chlorhexidine (CHX) to the demineralized collagen dentin matrix after acid-etching has been suggested to be a successful approach to prevent degradation of the hybrid layer. Further, nanotubes (HNT) have been used as a reservoir for encapsulation and controlled delivery for several therapeutic drugs with sustained release. Therefore, HNT can be encapsulated with CHX and incorporated into dentin adhesives for the possibility of enhancing the longevity and durability of the hybrid layer. Objective: To evaluate the effect of a CHX-encapsulated nanotube-modified primer/PR and adhesive/ADH on the microtensile resin bond strength (µTBS) to dentin. Materials and Methods: A commercial adhesive and its respective primer were modified by adding CHX-encapsulated nanotubes at two distinct concentrations (10 and 20 wt.%). The experimental adhesives were evaluated by degree of conversion (DC) and viscosity. Meanwhile, only viscosity was determined for the experimental primers. The prepared HNT-encapsulated with CHX (10 and 20 wt.%) powders were incorporated into the primer and/or adhesive according to the groups: ADH (control); HNT (control); 0.2% CHX; PR+CHX10%; PR+CHX20%; ADH+CHX10%; ADH+CHX20%. Human molars were selected and autoclaved; mid-coronal dentin surfaces were exposed for bonding purposes. Dentin surfaces were etched, followed by primer and adhesive application, and restored with a resin composite. After 24 hours, the teeth were sliced into beams for µTBS testing; beams collected for each tooth were equally assigned into two testing condition groups: 24 hours and 6 months. Microtensile bond strength was tested using a universal testing machine, and the types of failure were classified as adhesive, mixed, and cohesive failure. Data from DC and viscosity tests were analyzed using one-way ANOVA. Bond strength data were analyzed by pair-wise comparisons using the Sidak method to control the overall significance level at 5% for each aging time separately. Weibull-distribution survival analysis was used to compare the differences in the microtensile bond strength results among the groups after 24 hours and 6 months. Results and Conclusion: DC analysis revealed no significant differences among adhesive groups. However, ADH group had a significantly lower viscosity than modified adhesive groups, and a significantly higher viscosity than modified primer groups. Test results of stress value (MPa) by each group for each aging time revealed no significant differences among groups after 24 hours. However, after 6-month storage, modified primer groups (PR+CHX10%, PR+CHX20%) and 0.2%CHX group showed a significant difference in µTBS compared to control groups (ADH, HNT) and modified adhesive groups (ADH+CHX10%, ADH+CHX20%) in the same aging time testing (p < 0.05). When comparing the µTBS after 24 hours and 6 months, there were no significant differences among the groups except for the ADH+CHX20% group, for which MPa values were higher after 24 hours than 6 months (p = 0.0487). In conclusion, this study has demonstrated the great potential of modified dental primers with CHX-encapsulated nanotubes in preservation of the resin-dentin bond strength over a 6-month time period. Additionally, modification of dental primers and adhesives was a successful approach that didn’t compromise the characteristics or the mechanical properties of the materials and has a promising long-term effect on resin-dentin bond strength.Item Erosive tooth wear inhibition by hybrid coatings with encapsulated fluoride and stannous ions(Springer, 2021-07-01) Bezerra, Sávio José Cardoso; Viana, Ítallo Emídio Lira; Aoki, Idalina Vieira; Sobral, Maria Angela Pita; Borges, Alessandra Buhler; Hara, Anderson T.; Scaramucci, Taís; Biomedical and Applied Sciences, School of DentistryThis study aimed to formulate a hybrid coating material (HC) and to modify this HC with fluoride (NaF) and stannous (SnCl2) ions, directly or encapsulated in nano containers, testing the effects of these materials against dental erosion and erosion-abrasion. Enamel and dentin specimens were treated with the HCs, and then tested in erosion or erosion-abrasion cycling models of 5 days (n = 10 for each substrate, for each model). Deionized water was the negative control, and a fluoride varnish, the positive control. Surface loss (SL, in µm) was evaluated with an optical profilometer, and data were statistically analyzed (α = 0.05). For enamel, in erosion, the positive control and HC without additives showed significantly lower SL than the negative control (p = 0.003 and p = 0.001). In erosion-abrasion, none of the groups differed from the negative control (p > 0.05). For dentin, in erosion, the positive control, HC without additives, HC with non-encapsulated F, and HC with encapsulated F + Sn showed lower SL than the negative control (p < 0.05). In erosion-abrasion, none of the groups differed significantly from the negative control (p < 0.05). HC without additives showed a promising potential for protecting the teeth against dental erosion (with upward trend for improved protection on dentin), but not against erosion-abrasion. The presence of additives did not improve the protective effect of the HC, on both substrates.Item Evaluation of contact angle between root canal sealers and dentin treated with calcium hydroxide and irrigation solutions(2018) Nakaparksin, Pranai; Platt, Jeffrey; Levon , John A.; Bringas, Josef S.; Brown, David T.Background: Numerous studies have reported the effect of long-term use of calcium hydroxide Ca(OH)2 to dentin. Nevertheless, there is little information available about the effect of Ca(OH)2 on wettability to the dentin. Objective: To investigate the effect of Ca(OH)2 application on dentin for two and four weeks on the wettability of two root canal sealers. Methods: Polished caries-free human dentin discs (n = 156) were allocated into 12 groups; G1 and G3 had two weeks’ treatment, G4 and G6, four weeks treatment. G1 and 101 G4 were treated with sterile water. G2, G3, G5 and G6 were treated with Ca(OH)2. G1, G3, G4, and G6 were irrigated with 6.0-percent NaOCl and 17-percent EDTA while G2, and G5 were irrigated with sterile water. Then, contact angles between Tubli-Seal and the treated dentin surfaces were measured. G7 and G12 were treated in the same fashion but were treated with BC sealer. Surface morphology evaluation of G1 and G6 was carried out by scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDX). Statistics were performed using three-way ANOVA and pair-wise comparisons between groups (α = 0.05). Results: Tubli-Seal (G1 through G6) had significantly smaller values for contact angles than BC sealer (G7 through G12) (p < 0.05). For the Tubli-Seal groups (G1 through G6), G4 had the highest mean of contact angles at 104.9 ± 1.9°, whereas G5 presented the lowest mean of contact angles at 85.4 ± 15.1. For the BC sealer groups (G7 through G12), G10 had the highest mean of contact angles at 145.4 ± 1.3°, while G11 demonstrated the lowest mean of contact angles at 130.2 ± 2.6°. Groups with Ca(OH)2 treatment with water irrigation (G2, 5, 11) had significantly lower contact angle than groups with Ca(OH)2 with chemical irrigation (G3, 6, 12) (p < 0.05), except G8, 9. According to SEM and EDX, water irrigation solution showed higher remaining Ca(OH)2 than irrigation with the chemical solution while Ca(OH)2 with chemical irrigation 102 demonstrated no Ca(OH)2 remaining after irrigation, similar to the surface of the control group. Conclusion: Within the limitations of this study, Tubli-seal has better wettability on dentin than BC sealer. Remaining calcium hydroxide demonstrated a trend toward decreased contact angle between dentin and root canal sealers. Moreover, two-minute irrigation with 6-percent NaOCl and 17-percent EDTA can remove calcium hydroxide from polished dentin surfaces.Item The Impact of Mouthrinses on the Efficacy of Fluoride Dentifrices in Preventing Enamel and Dentin Erosion/ Abrasion(2018) Albeshir, Ebtehal; Lippert, Frank; Cook, Norman B.; Hara, AndersonObjective: Toothbrushing with fluoride toothpaste followed by rinsing with mouthwash is a routine procedure to maintain good oral hygiene. It is unknown to what extent these rinses can modulate the effect of fluoride in its ability to prevent erosion/abrasion.The aim of this in-vitro study was to investigate and compare the impact of chlorhexidine (CHX), essential oils (EO) and cetylpyridinium chloride (CPC) mouthrinses on erosive tooth wear protection afforded by conventional fluoride toothpastes. Materials and Methods: The following experimental factors were considered: five rinses: CHX, EO, CPC, a fluoride rinse, and deionized water, two fluoride toothpastes: stannous fluoride (SnF2) or sodium fluoride (NaF) and two models: (erosion/ erosion+abrasion). Slabs of bovine enamel and dentin were prepared and embedded in resin blocks and generated 10 enamel and dentin testing groups (n = 8). UPVC tapes were placed on the sides of each slab leaving 1mm area exposed in the center. The blocks were subjected to a five-day cycling model. Then, the blocks were placed in a brushing machine and exposed to fluoride toothpaste slurry (one side was brushed and the other wasn’t). The blocks were then exposed to rinse treatments. Artificial saliva was used to remineralize the specimens after erosions and treatment challenges, and as storage media. After the fifth day of cycling, surface loss (in micrometers) was determined by profilometer. Data were analyzed using ANOVA (α = 0.05). Results: There was no interaction among the three factors (type of toothpaste, mouthrinse and abrasion or not (dentin p = 0.0520, enamel p = 0.4720). There were no significant two-way interactions as SL was only affected by toothpaste and mouthrinse. NaF caused less SL than SnF2 (4.60 vs. 5.83 μm; p < 0.0001) in dentin, whereas the opposite was found in enamel (5.20 vs. 3.56 μm; p < 0.0001). Toothbrushing abrasion caused comparatively more SL in enamel (6.53 vs. 2.23 μm; p < 0.0001) than in dentin (6.06 vs. 4.38 μm; p < 0.0001). None of the tested mouthrinses affected SL. Conclusion: Commonly used mouthrinses containing antimicrobial agents or additional fluoride, do not impair the erosion/abrasion protection afforded by fluoride toothpastes. Tested SnF2 dentifrice offered greater protection against enamel surface loss and NaF dentifrices showed more protection for the dentin surface. Clinical relevance: The understanding of the interaction between commonly used rinses and fluoride dentifrices will help dentists provide better recommendations to patients with erosive lesions.Item Interaction between tin/flouride-containing solutions and artificially created dental pellicles on erosion prevetion in vitro(2013) Algarni, Amnah Abdullah A.; Hara, Anderson; Lippert, Frank; Gregory, Richard L.; Zandoná, Andréa F. Gerreira (Andréa Gonçalves Ferreira), 1969-; Cook, Norman Blaine, 1954-BACKGROUND: Fluoride and stannous ions have been reported to be relevant for dental erosion prevention. However, their interaction with the acquired dental pellicle (ADP), a clinically relevant erosion protective factor, is not well known and needs to be investigated. OBJECTIVES: To investigate the anti-erosive properties of fluoride-containing solutions and stannous solutions on enamel and dentin surfaces with a previously formed ADP. To characterize the protein profile of the ADP treated with the test solutions. METHODS: Phase I tested four solutions: SnCl2/NaF, NaF, SnCl2 and deionized water (DIW) (as negative control). Forty bovine enamel and dentin specimens 104 (4x4x2 mm3) were prepared and randomly distributed into 4 groups (n = 10). The specimens were incubated in clarified human saliva (CHS) for 24 h for pellicle formation and then they were subjected to a cycling procedure that included a 5-min erosive challenge (0.3-percent citric acid, pH 2.6); a 2-min treatment with the solution (between 1st, 3rd and 6th cycles); a 2-h immersion in CHS, and overnight immersion in CHS. Cycles were repeated 6x/day for 5 days. The outcome measure was surface loss (SL) using profilometry. Phase II: Thirty-two (32) bovine enamel specimens (882 mm3) (n = 8) were similarly prepared and incubated in saliva for 24 h and then treated with the solutions for 2 min followed by CHS immersion for 2 h. This cycle was repeated 3x for one day. The pellicles formed and treated with the test rinse solutions were collected, digested, and analyzed for specific protein content using liquid chromatography electrospray ionization tandem mass spectrometry (LCESI-MS/MS). RESULTS: Phase I: for enamel, SnCl2/NaF, SnCl2, NaF solutions provided 89 percent, 67 percent, and 42 percent SL reduction respectively compared with the control, while in dentin they provided 60 percent, 23 percent, and 36 percent, respectively, all significant at p < 0.05. Phase II: Seventy-two (72) common proteins were identified in all groups, 30 exclusive to DIW, 20 to SnCl2/NaF, 19 to NaF, and 13 to SnCl2. SnCl2/NaF increased the abundance of pellicle proteins than each one alone. CONCLUSION: SnCl2/NaF showed the best anti-erosive effect on both enamel and dentin. The findings suggest that the composition of acquired pellicle changes with different solutions, which may be related to their anti-erosive effect.Item Microtensile bond strength of new paste/paste resin-modified glass ionomer cement systems : the effect of dentin pretreatment(2011) Al-Fawaz, Yasser Fawaz, 1983-; Cook, Norman Blaine, 1954-; Hara, Anderson T.; Matis, Bruce A.; Cochran, Michael A. (Michael Alan), 1944-; Bottino, Marco C.MICROTENSILE BOND STRENGTH OF NEW PASTE/PASTE RESIN-MODIFIED GLASS IONOMER CEMENT SYSTEMS: THE EFFECT OF DENTIN PRETREATMENT by Yasser Fawaz Al-fawaz Indiana University School of Dentistry Indianapolis, Indiana Background: In order to improve the clinical performance of RMGIC 3M ESPE and GC America introduced paste/paste resin-modified glass ionomer cements, Ketac™ Nano and Fuji Filling™ LC, respectively. Both companies developed non-rinse substrate conditioners (i.e., Ketac Nano Primer-3M ESPE and GC Self-Conditioner-GC America) that should be used with these new materials instead of the conventional polyacrylic acid. It has been also advised by both manufacturer’s to use this novel substrate conditioner with the previously marketed RMGICs. Objective: to investigate whether the use of novel non-rinse conditioners (i.e., Ketac Nano Primer 3M ESPE and GC Self Conditioner GC America) as substrate pre-treatment and the new paste/paste resin-modified glass-ionomer cement, RMGIC (Ketac™ Nano 3M ESPE and Fuji Filling™ LC GC America) would affect the microtensile dentin bond strength (µTBS) of the material when compared to the traditional RMGIC with polyacrylic acid as a surface substrate pre-treatment. Materials and Methods: 96 extracted non-restored human molar were sectioned to expose occlusal dentin. Dentin surface was finished with SiC paper to standardize the smear layer. Bonding protocols of the different materials to dentin were performed following the use of two dentin conditioners. Eight groups (n=12) were tested: G1: Ketac Nano Primer + Ketac Nano, G2: Ketac Conditioner + Ketac Nano, G3: Ketac Nano Primer + Photac Fil, G4: Ketac Conditioner + Photac Fil, G5: GC Self Conditioner + Fuji Filling LC, G6: GC Cavity Conditioner + Fuji Filling LC, G7: GC Self Conditioner + Fuji II LC and G8: GC Cavity Conditioner + Fuji II LC. The specimens were stored in 37°C for 24h in 100% humidity before cutting non-trimmed beams for the µTBS with cross-sectional areas of approximately 0.8 × 0.8 mm2. Nine beams were used from each specimen. Test was done using universal testing machine at a cross-head speed of 1mm/min. Debonded specimens were examined under a stereomicroscope at 45× magnification to evaluate the failure mode. Eight randomly chosen representative debonded beams were imaged under a scanning electron microscope (SEM). Results: µTBS in MPa (mean ± SE) were: G1: 9.5±1.0, G2: 11.0±1.0, G3:20.0±1.0, G4:16.8±0.9, G5: 15.1±1.0, G6: pre-test failure, G7: 20.0±1.0, G8:14.1±0.9. Weibull-distribution survival analysis was used to compare the differences in microtensile peak stress among the groups. Group5 has cohesive predominant faultier mod while the other groups have adhesive predominant failure. Conclusion: Within the limitations of this study, the use of the novel non-rinse conditioners did not improve the microtensile bond strength of new paste/paste RMGIC to dentin. In fact, the use of the novel non-rinse conditioners enhanced the bond strength of the traditional RMGIC to dentin.