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Item A comparison of hardness and abrasion resistance of two sealant materials after polymerization from different distances by different light sources(2008) Ritchie, Craig D.; Dean, Jeffrey A.; Avery, David R.; Sanders, Brian J.; Weddell, James A. (James Arthur), 1949-; Platt, Jeffrey A., 1958-; Tomlin, Angela; Moore, B. KeithBACKGROUND The efficacy of sealants to aid in the prevention of pit and fissure caries is well documented. In order for the sealants to be effective, they must be placed properly and retained for as long as possible. Clinicians must be aware that the proper placement of sealants is technique-sensitive and must be well controlled in order to achieve the best results. This study aims to determine if certain variables have an effect on curing of the sealant material to a degree that would compromise its integrity, strength, and longevity. METHODS AND MATERIALS Two commonly used sealant materials Ultraseal XT (Ultradent Products Inc., South Jordan, UT) and Delton (Dentsply International, Woodbridge, Ontario, Canada) were chosen and tested for microhardness and abrasion resistance after they were polymerized. This study did not focus on the materials themselves, but rather the technique by which they were polymerized and what effect this had on the materials. Three separate light sources, a traditional halogen light (QHL 75, Dentsply International, Woodbridge, Ontario, Canada), and two newer LED lights (Ultralume LED, Ultradent Products Inc., South Jordan, UT; and 3M Freelight LED, 3M Corp, St Paul, MN) were used in this study. The materials were then cured with each light at each of three different distances: contact (0.5 mm), 2 mm, and 10 mm. The effects of light source variation and distance from the material at the time of polymerization was then evaluated for any significance to sealant placement technique. Specimens were tested for each variable combination of sealant material, light source, and distance between the two while curing. Six samples were tested for each variable grouping for abrasion resistance, and four separate san1ples were tested fron1 the san1e grouping for Knoop hardness. The results were analyzed for significance to determine if certain techniques are or could be beneficial or damaging to the quality of care provided by today's practitioners. RESULTS It was found that materials and light sources varied in combination and with different techniques (e.g., distance). In general, the top surface polymerized best when cured at a distance of 2 mm to 10 mm, while the bottom surface polymerized best at a distance of 0.5 mm. The halogen light consistently outperformed the two LED lights, with the 3M LED consistently producing the worst results. CONCLUSIONS The halogen curing light used in this study outperformed the LED lights in almost every category, despite the LED light manufacturer's claims of equality. For more reliable polymerization, the halogen light should be used. SIGNIFICANCE The practitioner must be aware of the material that he/she is using and how the chosen light source polymerizes that material. Manufacturers' claims and recommendations cannot be trusted to accurately produce the best results with every product on the market today, sometimes not even with the manufacturers' own products. It is crucial for practitioners to be well versed and knowledgeable about the products that they use, based on current research and not manufacturers' claims.Item The effect of polymerization methods and fiber types on the mechanical behavior of fiber-reinforced composite resin(2015) Huang, Nan-Chieh; Chu, Tien-Min Gabriel; Hara, Anderson T.; Brown, David T.; Bottino, Marco C.; Levon, John A.Background: Interim restoration for a lost anterior tooth is often needed for temporary esthetic and functional purposes. Materials for interim restorations usually have less strength than ceramic or gold and can suffer from fracture. Several approaches have been proposed to reinforce interim restorations, among which fiber reinforcement has been regarded as one of the most effective methods. However, some studies have found that the limitation of this method is the poor polymerization between the fibers and the composite resin, which can cause debonding and failure. 64 Purpose: The purpose of this study was to investigate the effects of different polymerization methods as well as fiber types on the mechanical behavior of fiberreinforced composite resin. Material and Methods: A 0.2-mm thick fiber layer from strip fibers or mesh fibers embedded in uncured monomers w as fabricated with polymerization (two-step method) or without polymerization (one-step method), on top of which a 1.8-mm composite layer was added to make a bar-shape sample, followed by a final polymerization. Seventy-five specimens were fabricated and divided into one control group and four experimental groups (n=15), according to the type of glass fiber (strip or mesh) and polymerization methods (one-step or two-step). Specimens were tested for flexural strength, flexural modulus, and microhardness. The failure modes of specimens were observed by scanning electron microscopy (SEM). Results: The fiber types showed significant effect on the flexural strength of test specimens (F = 469.48; p < 0.05), but the polymerization methods had no significant effect (F = 0.05; p = 0.82). The interaction between these two variables was not significant (F = 1.73; p = 0.19). In addition, both fiber types and polymerization steps affected the flexural modulus of test specimens (F = 9.71; p < 0.05 for fiber type, and F = 12.17; p < 0.05 for polymerization method). However, the interaction between these two variables was not significant (F = 0.40; p = 0.53). Both fiber types and polymerization steps affected the Knoop hardness number of test specimens (F = 5.73; p < 0.05 for polymerization method. and F = 349.99; p < 0.05 for fiber type) and the interaction between these two variables was also significant (F = 5.73; p < 0.05). SEM images revealed the failure mode tended to become repairable while fiber reinforcement was 65 existed. However, different polymerization methods did not change the failure mode. Conclusion: The strip fibers showed better mechanical behavior than mesh fibers and were suggested for use in composite resin reinforcement. However, different polymerization methods did not have significant effect on the strength and the failure mode of fiber-reinforced compositeItem Evaluation of Mechanical Properties of Provisional Fixed Partial Denture PMMA Material Containing Alumina Nanofibers(2012) Hajjaj, Maher Saeed, 1980-; Chu, Tien-Min Gabriel; Brown, David T.; Platt, Jeffrey A., 1958-; Paez de Mendoza, Carmen Y.; Levon, John A.Provisional restorative treatment is an essential part of fixed prosthodontics. Incorporation of adequately constructed provisional restorations will enhance the success rate of definitive restorations. Repairing or replacing failed provisional restorations is a concern for both clinicians and patients. The objective of this investigation was to study the effects of alumina nanofibers reinforcement on the mechanical properties of commercially available provisional fixed partial denture PMMA material. The hypothesis was that the addition of alumina nanofibers to commercially available PMMA resin will significantly increase its flexural strength, fracture toughness, and microhardness. Alumina nanofibers at 0.0 wt %, 0.5 wt %, 1.0 wt %, and 2.5 wt % were added to commercially available provisional fixed partial material (Jet Tooth Shade). A quaternary ammonium acetate dispersant (CC-59, Goldschmidt, Janesville, WI) was added to the acrylic monomer at 0.0 wt %, 1.0 wt %, 2.0 wt % and 5.0 wt % of the nanofiber weight (12 test groups, 1 control). Samples from each group were evaluated for flexural strength, flexural modulus, fracture toughness, and microhardness. The samples were tested after storing in distilled water for 24 hours and 7 days at 37ºC. Two-way analysis of variance (ANOVA) was used to test the effects of storage time and combinations of alumina nanofiber level and quaternary ammonium acetate dispersant level on the flexural strength, fracture toughness, and microhardness of the provisional PMMA resin. Pair-wise comparisons between groups were performed using Tukey’s multiple comparisons procedure to control the overall significance level at 5 percent. Three fracture toughness samples/group were randomly selected for Energy Dispersive Spectrometry (EDS) to qualitatively evaluate the dispersion of the fibers. The data obtained from this study showed that control sample values were in the acceptance range compared with previous research. The experimental samples did not reinforce the provisional resin in the flexural strength, modulus, fracture toughness, or microhardness. There are several factors may attribute to these results, such as poor bonding at the filler/matrix interface. The more homogeneous the mixture of PMMA and fiber, the stronger the acrylic resin. In fact, the presence of poorly bonded fibers, to which little load is transferred, can be almost equivalent to voids. In addition, as seen with EDS images, alumina nanofibers had a tendency to agglomerate. The use of a magnetic stirrer was not effective in physically separating nanofibers agglomerates. Direct dispersion of alumina nanofibers in methyl methacrylate monomer and quaternary ammonium acetate dispersant was not effective in separating the nanofibers into nano-scaled single crystals. The presence of fiber agglomerates acts as a structural defect that detrimentally affects the mechanical properties. Further studies are needed to evaluate the effectiveness of fibers, dispersion techniques, and coupling agents to enhance the mechanical properties of the provisional PMMA resin.Item In-vitro wear and hardness of new conventional glass ionomer cement coated with nano-filled resin(2011) AlJamhan, Abdullah Saleh; Platt, Jeffrey Alan, 1958-; Matis, Bruce A.; Cochran, Michael A. (Michael Alan), 1944-; Cook, Norman Blaine, 1954-; Zandoná, Andréa G. Ferreira (Andréa Gonçalves Ferreira),1969-Background: Since the introduction of glass ionomer cements (GICs) in the 1970s, many attempts have been made to improve them and expand their application in restorative dentistry. Recently, GC America introduced a new glass ionomer restorative system called EQUIA. The manufacturer claims that this material has improved wear resistance by coating the surface of high-strength GIC with a nano-filled resin coating. Objective: The objective of this study was to measure the wear resistance and hardness of EQUIA and to compare it to other current restorative materials. Materials and Methods: Four different materials were used in this study: EQUIA, Fuji IX GP Extra, Fuji II LC and Z-100. Six specimens of each material were made and then tested in a toothbrush abrasion machine for 20,400 cycles, after which the amount of volume loss was calculated. Eight specimens of each material were made and tested in a three-body Alabama wear testing machine under a load of 75 N for 400,000 cycles. Four surface profiles were obtained from each specimen and volume loss was calculated using computer software. Five specimens of each material were made and Knoop microhardness was determined by using the mean of the three values from the top surface of the specimen. Results of each test were collected and compared with the other materials using one-way analysis of variance (ANOVA) at a significance level of 0.05. Results: Wear-resistance results showed that EQUIA has wear-resistance values comparable to composite resin and higher values than those for the high-strength GIC. The results also showed that Fuji II LC had the highest wear among all tested materials. Microhardness results showed that EQUIA has significantly lower microhardness than Fuji IX GP Extra and Z-100. Conclusion: Based on the results of the present study, it can be concluded that coating the surface of glass ionomer restorations with a nano-filled resin coat results in increasing the wear resistance and decreasing the microhardness of the material. Within the limitations of this study, EQUIA has comparable wear resistance to composite resin.Item The influence of baseline hardness and chemical composition on enamel demineralization and subsequent remineralization(2017-05-09) Alkattan, Rana; Ando, Masatoshi; Lippert, Frank; Cook, Norman BlaineBACKGROUND Several studies have reported that harder enamel with higher contents of calcium (Ca), phosphorus (P) and fluorine (F) coupled with lower contents of carbonate (C), magnesium (Mg) and nitrate (N) was found to be more resistant to demineralization. Additionally, the hardness of dental enamel was found to have a strong correlation with its chemical content. However, yet to be established is the relation between the physical and chemical structure of enamel and its response to de- and remineralizing conditions. OBJECTIVES The aims of this laboratory study were: 1) To investigate the hardness and chemical content of sound enamel and their influence on demineralization; 2) To investigate these properties in demineralized enamel and their influence on remineralization; and 3) To investigate these properties in sound enamel and their influence on remineralization. MATERIALS AND METHODS Incipient subsurface caries lesions were created in 94 bovine enamel specimens using Carbopol C907 using three demineralization times. The specimens were then pH-cycled and treated using either 367 ppm F sodium fluoride or a placebo. Knoop surface microhardness (SMH), Energy dispersive X-ray spectroscopy (EDS) and Transverse microradiography (TMR) were performed on the specimens at all stages and compared between them. TMR variables included integrated mineral loss (ΔZ), Lesion depth (L) and maximum mineral density of the surface zone (SZmax). Data were analyzed using three- and four-way ANOVA and Pearson correlation coefficients were calculated. RESULTS SMH, ΔZ, L and SZmax were significantly different among stages, demineralization times and treatment. The weight% of F at the surface was significantly affected by treatment, irrespective of demineralization time. A statistically significant moderate correlation was found between SZmax and ΔZ and SZmax and L after pH cycling. SMH also correlated weakly to moderately with TMR data. CONCLUSIONS SMH and SZmax decreased while ΔZ and L increased with increased demineralization time. Both fluoride and non-fluoride specimens were able to remineralize, which emphasizes the role of saliva in mineralization. The Ca:P ratio remained stable at various stages, indicating the stoichiometric dissolution and redeposition of minerals. The greatest deposition of F was at the surface and its increase led to an increase in SMH and SZmax. SMH values showed that harder specimens at baseline and after demineralization remained hard after demineralization and pH-cycling, respectively, although this correlation was weak. Additionally, harder lesions showed less L and ΔZ and greater SZmax. RELEVANCE This in-vitro study will help better understand the caries process and the impact of physical and chemical characteristics of enamel on de- and remineralization challenges.Item Mechanical properties of a new zinc-reinforced glass ionomer restorative material(2012) Al-Angari, Sarah Sultan; Cook, Norman Blaine; Lund, Melvin R., 1922; Cochran, Michael A. (Michael Alan), 1944-; Chu, Tien-Min Gabriel; Platt, Jeffrey A., 1958-; Hara, Anderson T.Objective: Zinc-reinforced glass ionomer restorative material (ZRGIC) has been proposed as an improved restorative material. The study compared the mechanical properties of a ZRGIC restorative material (ChemFil Rock, (Dentsply)), with three commercially available glass ionomers (GICs); Fuji IX GP Extra (GC America), Ketac Molar (3M ESPE) and EQUIA Fil (GC America). A resin composite, Premise (Kerr), was included as a control group except for fracture toughness. Methods: Fracture toughness (KIC) testing was done according to ISO 13586, using single edge notched-beam specimens (n=10), loaded until failure in a three-point bending test device. Specimens (n=9) for the hardness, roughness and abrasive wear testing were made by mixing and inserting the restorative materials into individual stainless steel molds followed by flattening and polishing. Knoop microhardness (KHN) was performed (25 g, 30 s),on pre-determined areas of the polished surfaces. For toothbrushing wear resistance and roughness, specimens were brushed in an automated brushing machine (200 g) with a suspension of dentifrice and water (1:1, w/v) for 20,000 strokes. Specimen surfaces were scanned in an optical profilometer before and after brushing to obtain surface roughness (Ra) and mean height (surface) loss using image subtraction and dedicated software. Data were analyzed using Wilcoxon Rank Sum tests (α=0.05). Results: ChemFil Rock had the highest change in surface roughness (Ra)(0.79±0.14; p<0.001) and the lowest microhardness (KHN) values (52.39±2.67; p<0.05) among all GICs. Its wear resistance was comparable to other GICs (p>0.05). ChemFil Rock had lower fracture toughness (0.99±0.07, KIC) compared to Equia Fil (p<0.01) and higher compared to the other GICs (p<0.01). Conclusion: The new ZRGIC restorative material showed intermediate fracture toughness, high change in surface roughness, and low microhardness compared to three other commercial GICs. All materials were supplied by respective manufacturers.Item A self-cured glass-ionomer cement with improved antibacterial function and hardness(Wiley, 2020) Chen, Yong; Caneli, Gulsah; Almousa, Rashed; Hill, Kayla; Na, Sungsoo; Anderson, Gregory G.; Xie, Dong; Biology, School of ScienceA novel antimicrobial dental self-cured glass-ionomer cement has been developed and evaluated. Alumina filler particles were covalently coated with an antibacterial polymer and blended into a self-cured glass-ionomer cement formulation. Surface hardness and bacterial viability were used to evaluate the modified cements. Results showed that the modified cements exhibited a significantly enhanced antibacterial activity along with improved surface hardness. Effects of antibacterial moiety content, alumina particle size and loading, and total filler content were investigated. It was found that increasing antibacterial moiety content, particle size and loading, and total filler content generally increased surface hardness. Increasing antibacterial moiety, filler loading and total filler content increased antibacterial activity. On the other hand, increasing particle size showed a negative impact on antibacterial activity. The leaching tests indicate no cytotoxicity produced from the modified cements to both bacteria and 3T3 mouse fibroblast cells.