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Operative Dentistry

A R Yazici, E Ozturk Bayazit, Z B Kutuk, G Ozgunaltay, E Ergin, A Berber
The purpose of this study was to evaluate the retention rates of a fissure sealant placed using different adhesive protocols over 24 months. Twenty-four subjects with no restorations or caries received fissure sealants (Clinpro Sealant, 3M ESPE) placed using different adhesive protocols. A total of 292 sealants were placed as follows by two previously calibrated dentists using a table of random numbers (n=73): group I, acid-etch/without adhesive; group II, with a self-etch adhesive (Adper Easy Bond, 3M ESPE); group III, with an etch-and-rinse adhesive (Adper Single Bond 2, 3M ESPE); group IV, with acid + self-etch adhesive (Adper Easy Bond)...
April 9, 2018: Operative Dentistry
P Saikaew, M Matsumoto, Afma Chowdhury, R M Carvalho, H Sano
OBJECTIVE: This study evaluated the effect of shortened application time on long-term bond strength with universal adhesives. METHODS AND MATERIALS: Three universal adhesives were used: Clearfil Universal Bond (CU, Kuraray Noritake Dental Inc, Tokyo, Japan), Scotchbond Universal Adhesive (SB, 3M ESPE, St Paul, MN, USA) or G-Premio Bond (GP, GC Corp, Tokyo, Japan). Sixty molars were cut to expose midcoronal dentin and prepared with a regular diamond bur. Each adhesive was applied either according to the manufacturer's instruction or with shortened time...
April 9, 2018: Operative Dentistry
D Kim, S-H Park
OBJECTIVES: The purpose of this study was to examine and compare the color and translucency of currently available resin-based composites (RBCs) with respect to the shade numbers within each product line. METHODS AND MATERIALS: Four A-shades (A1, A2, A3, and A3.5) of nine RBC products (Beautifil II, Ceram-X One, Estelite Sigma Quick, Esthet-X HD, Filtek Z250, Filtek Z350 XT, Gradia Direct, Herculite Precis, and Tetric N-Ceram) were investigated. Ten disk-shaped specimens of two different thicknesses (1 and 2 mm) were prepared for each shade of the RBCs...
April 9, 2018: Operative Dentistry
S-H Han, S-H Park
PURPOSE: To compare the microtensile bond strengths of incremental and bulk-fill techniques under different C-factor and compliance conditions. METHODS AND MATERIALS: Extracted human third molars were divided into three experimental groups. For group I, Class I cavities were prepared. For group II, MOD cavities of the same size were prepared. For group III, the cavities were prepared the same way as group II only with high compliance cavity walls. The cavity wall compliance of the specimens was evaluated...
April 9, 2018: Operative Dentistry
E M Yancey, W Lien, C S Nuttall, J A Brewster, H W Roberts, K S Vandewalle
A new nanofiber-reinforced hybrid composite (NovaPro Fill, Nanova) was recently introduced with reportedly improved mechanical properties. The purpose of this study was to compare the properties (flexural strength/modulus, degree of conversion [DC], depth of cure, and polymerization shrinkage) of the nanofiber composite to those of traditional hybrid composites (Filtek Z250, 3M ESPE; Esthet-X HD, Dentsply). To determine flexural strength and modulus, composite was placed in a rectangular mold, light-cured, stored for 24 hours, and then fractured in a universal testing machine...
April 9, 2018: Operative Dentistry
R C Ferreira-Filho, C Ely, R C Amaral, J A Rodrigues, J-F Roulet, A Cassoni, A F Reis
OBJECTIVE: The purpose of this study was to investigate the immediate and three-month water storage behavior of adhesives when used for immediate dentin sealing (IDS). METHODS AND MATERIALS: Four adhesive systems were used to perform IDS: a one-step self-etch (Xeno V), a two-step self-etch (Clearfil SE Bond), a two-step etch-and-rinse (XP Bond), and a three-step etch-and-rinse (Optibond FL). For the control group, IDS was not performed. The self-adhesive resin cement RelyX Unicem was used for the luting procedures...
April 9, 2018: Operative Dentistry
M Zimmermann, A Valcanaia, G Neiva, A Mehl, D Fasbinder
OBJECTIVE: CAM fabrication is an important step within the CAD/CAM process. The internal fit of restorations is influenced by the accuracy of the subtractive CAM procedure. Little is known about how CAM strategies might influence the fit of CAD/CAM fabricated restorations. The aim of this study was to three-dimensionally evaluate the fit of CAD/CAM fabricated zirconia-reinforced lithium silicate ceramic partial crowns fabricated with three different CAM strategies. The null hypothesis was that different CAM strategies did not influence the fitting accuracy of CAD/CAM fabricated zirconia-reinforced lithium silicate ceramic partial crowns...
April 9, 2018: Operative Dentistry
C B André, G Nima, M Sebold, M Giannini, R B Price
OBJECTIVES: This study evaluated the light output from six light-emitting diode dental curing lights after 25 consecutive light exposures without recharging the battery, tip accessibility in the posterior region, and light beam spread from light-curing units. METHODS: Irradiance, spectral peak, and radiant exposure were measured with the battery fully charged (Bluephase Style, ESPE Cordless, Elipar S10, Demi Ultra, Valo Cordless, and Radii-Cal) and monitored for 25 light exposures (each lasting 10 seconds)...
April 9, 2018: Operative Dentistry
M Zimmermann, A Ender, T Attin, A Mehl
CLINICAL RELEVANCE: Accurate reproduction of the jaw relationship is important in many fields of dentistry. Maximum intercuspation can be registered with digital buccal scan procedures implemented in the workflow of many intraoral scanning systems. OBJECTIVE: The aim of this study was to investigate the accuracy of buccal scan procedures with intraoral scanning devices for the registration of habitual intercuspation in vivo. The hypothesis was that there is no statistically significant difference for buccal scan procedures compared to registration methods with poured model casts...
April 9, 2018: Operative Dentistry
V C Ruschel, V S Bona, L N Baratieri, H P Maia
The objective of this study was to evaluate the effect of surface sealants and polishing delay time on a nanohybrid resin composite roughness and microhardness. Eighty disc specimens were made with a nanohybrid resin (Esthet-X HD, Dentsply). The specimens were divided into two groups (n=40) according to polishing time: immediate, after 10 minutes; delayed, after 48 hours. Each group was subdivided into four groups (n=10), according to the surface treatment: CG, control-rubber points (Jiffy Polishers, Ultradent); PP, rubber points + surface sealant (PermaSeal, Ultradent); PF, rubber points + surface sealant (Fortify, Bisco); PB, rubber points + surface sealant (BisCover, Bisco)...
April 9, 2018: Operative Dentistry
T H Resende, K R Reis, L H Schlichting, P Magne
Dental biocorrosion can produce a devastating impact on oral health. The restorative phase of the treatment should not cause additional damage of the remaining sound tooth structure. Ultrathin occlusal veneers are a conservative alternative to traditional onlays and complete crowns for the treatment of severe biocorrosive lesions. This strategy is explained in the present case report through a full-mouth rehabilitation of a patient with moderate biocorrosion. Maxillary anterior teeth were restored using the bilaminar technique (lingual direct composite veneers with labial ceramic veneers) and posterior teeth using ultrathin CAD-CAM ceramic occlusal veneers...
March 27, 2018: Operative Dentistry
A V Martins, R C Albuquerque, Lfsa Morgan, Nrfa Silva, A F Drummond, R R Silveira, C S Magalhães, A N Moreira
It was possible to restore the shape and function of a severely ankylosed tooth by fabricating a ceramic crown for placement on a resin reconstruction supported by mini fiberglass posts. By increasing the retention of the morphological reconstruction for the future support of indirect restorations, cementable intradentinal fiberglass posts enhance the longevity of these restorations. Ultimately, all proposals that seek to improve the long-term prognosis of restorations on ankylosed teeth, especially severely impacted ones, are of extreme clinical relevance...
March 23, 2018: Operative Dentistry
M G Brackett, J M Ryan, F J Haddock, M F Romero, W W Brackett
Given the increasing incidence of root caries in the elderly population, clinicians frequently must isolate and restore subgingival preparations. This article demonstrates a technique utilizing a modified Tofflemire matrix band that creates a preparation free of crevicular fluid and blood for restoration with resin-modified glass ionomer cement.
March 23, 2018: Operative Dentistry
C Yao, H Yang, J Yu, L Zhang, Y Zhu, C Huang
OBJECTIVE: This study aimed to investigate the long-term effectiveness of ceramic-resin bonding with universal adhesives in non-silane-pretreated and silane-pretreated modes after 10,000 cycles of thermal aging. METHODS AND MATERIALS: All Bond Universal, Adhese Universal, Clearfil Universal Bond, and Single Bond Universal were selected. Etched lithium disilicate glass ceramics were prepared, randomly assigned to groups, and pretreated with or without ceramic primer containing silane coupling agent prior to the application of universal adhesive (ie, silane-pretreated or non-silane-pretreated mode)...
March 23, 2018: Operative Dentistry
A C Rocha, Wlo Da Rosa, A R Cocco, A F Da Silva, E Piva, R-G Lund
The purpose of this study was to analyze the influence of dentin surface treatments on the retention rate of resin composite restorations in non-carious cervical lesions (NCCLs). Seven randomized clinical trials were included in this review. Data regarding retention rate, type of surface treatment, and the main characteristics of studies were analyzed. Two reviewers performed a literature search up to December 2016 in eight databases: PubMed (Medline), Lilacs, Ibecs, Web of Science, BBO, Scopus, Scielo and The Cochrane Library...
March 23, 2018: Operative Dentistry
J W Reinhardt, M M Balbierz, C M Schultz, B Simetich, M W Beatty
In this laboratory study, a composite resin was stained to a visibly discernible level using both coffee and red wine over 14 days (change was considered clinically noticeable and significant when ΔEab *≥2.7). Color change was measured at one, three, seven, and 14 days of staining. Although the nature of color change was different for the two staining solutions, the overall degree of staining (ΔEab *) rendered by either coffee or wine at each time interval was not significantly different ( p≥0.05). Four whitening protocols were applied to stained composites...
March 23, 2018: Operative Dentistry
M M AlShaafi, A AlQussier, M Q AlQahtani, R B Price
OBJECTIVE: To evaluate the effects of different mold materials, their diameters, and light-curing units on the mechanical properties of three resin-based composites (RBC). METHODS AND MATERIALS: A conventional nano-filled resin composite (Filtek Supreme Ultra, 3M Oral Care, St Paul, MN, USA) and two bulk-fill composites materials, Tetric Evoceram Bulk fill (Ivoclar Vivadent, Schaan, Liechtenstein) and Aura Bulk Fill (SDI, Bayswater, VIC, Australia), were tested...
March 23, 2018: Operative Dentistry
N Ilie, B I Luca
The variation in micro-hardness (HV) within simulated large cavities (10 × 6 mm) filled in one increment with three bulk-fill resin-based composites (BF-RBC) was assessed by means of a universal hardness device. Modern blue and violet-blue light curing units (LCUs) were applied in three different positions, by rotating the LCU in 120° steps. The exposure distance was 3 mm. One center and two peripheral (4-mm apart from the center) HV line profiles were measured in 0.5-mm steps at 24 hours postpolymerization to calculate the depth of cure (DOC)...
March 23, 2018: Operative Dentistry
D Angerame, M De Biasi
This systematic review was carried out to assess the clinical effectiveness of nanofilled and nanohybrid composites used for direct restorations in comparison with microhybrid composites. The guidelines for the preferred reporting items for systematic reviews and meta-analyses were followed. A search of articles published from July 1996 to February 2017 was performed in PubMed, SciVerse Scopus, Latin American and Caribbean Health Sciences, the Scientific Electronic Library Online, and the Cochrane Library. The present review selected only randomized controlled trials comparing the clinical performance of a nanofilled or nanohybrid composite for direct restorations with that of a microhybrid composite...
March 23, 2018: Operative Dentistry
T A Sulaiman, A A Abdulmajeed, A Altitinchi, S N Ahmed, T E Donovan
STATEMENT OF THE PROBLEM: Resin-modified glass ionomer cements (RMGIs) are often used for luting indirect restorations. Hand-mixing traditional cements demands significant time and may be technique sensitive. Efforts have been made by manufacturers to introduce the same cement using different dispensing/mixing methods. It is not known what effects these changes may have on the mechanical properties of the dental cement. PURPOSE: The purpose of this study was to evaluate the mechanical properties (diametral tensile strength [DTS], compressive strength [CS], and fracture toughness [FT]) of RMGIs with different dispensing/mixing systems...
March 23, 2018: Operative Dentistry
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