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Purpose: To determine the degree of conversion (DC), physicochemical properties, and microshear bond strength (μSBS) of experimental self-adhesive resin cements (SARCs) to dentin and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) ceramic. Materials and Methods: Dual-curing cements were formulated with UDMA, HEMA, bis-GMA, and TEG-DMA as the organic matrix. 2MP (bis 2-(methacryloyloxy)-ethyl-phosphate) and GDMAP (1,3-glycerol dimethacrylate phosphate) were added to impart self-adhesive characteristics. A control group was formulated without self-etch methacrylates. Silanized particles were incorporated. Photoactivation was carried out using an LED light-curing unit (1200 mW/cm2) for 20 s. Infrared spectroscopy assessed the DC immediately and after 24 h. pH was analyzed in real time and recorded after 48 h. Water sorption (Wsp), water solubility (Wsl), and film thickness measurements followed ISO 4049. μSBS of the cements to dentin and Y-TZP was evaluated immediately and after 3 months of water storage. Y-TZP was also tested without a surface treatment and after tribochemical silica coating with subsequent application of a silane agent. The fractures patterns were classified as adhesive, cohesive, and mixed. Data were submitted to analyses of variance and Tukey's tests (α = 0.05). Results: Control (91.7%) and 2MP (92.0%) groups generated the highest DC after 24 h. 2MP (pH = 3.6) showed the lowest pH followed by GDMAP (pH = 4.7) and control (pH = 6.4) after 48 h. The control cement exhibited lower Wsp (41.0 μg/mm³) and Wsl (4.3 μg/mm3) than the other groups. Film thickness was statistically similar (p = 0.266) for all cements. Control (27.0 MPa) and GDMAP (24.1 MPa) showed higher μSBS to dentin than 2MP (13.7 MPa) after water storage. Mixed fractures were predominant in dentin. For all cements, the μSBS to Y-TZP was < 3.0 MPa after water storage, independent of the surface treatment. Conclusion: The results of DC, pH, Wsp and Wsl were material dependent. Only the film thickness was statistically similar for all groups. The cement formulated with GDMAP maintained the bond strengths to dentin even after aging. However, none of the groups were able to generate satisfactory bond strength to Y-TZP, independent of the surface treatment. [ABSTRACT FROM AUTHOR]

• The amine-free dual-activated resin cement demonstrated improved color stability over the traditional one. • The amine-free and the pre-heated composite presented the highest color stability when considering the CIEDE2000 parameter. • The pre-heated composite presented the highest color stability when considering the CIELAB parameter. To determine the curing potential and color stability of resin-based luting materials for aesthetic restorations. Four resin-based luting agents were tested: traditional dual-activated resin cement (RelyX ARC, ARC), amine-free dual-activated resin cement (RelyX Ultimate, ULT), light-activated resin cement (RelyX Veneer, VEN), and pre-heated restorative resin composite (Filtek Supreme, PHC). Degree of C = C conversion was determined by infrared spectroscopy (n = 3) with direct light exposure or with interposition of 1.5-mm-thick ceramic (e.max Press HT) between the luting material and light. The curing potential considered the ratio between these two scenarios. Color difference (n = 6) was determined by CIELAB (Δ E ab) and CIEDE2000 (Δ E 00) methods, by spectrophotometer measurements made 24 h after photoactivation and 90 days after storage in water. Data was submitted to ANOVA and Tukey's test (α = 0.05). The luting agents affected both conversion and color stability. With ceramic, ARC produced the highest conversion among the tested groups (75 ± 1%) and the pre-heated composite (PHC) the lowest one (51 ± 3%), but the curing potential was similar for all materials. ULT produced lower Δ E ab than ARC. PHC presented the lowest color difference when considered both CIELAB and CIE2000 methods (Δ E ab 2.1 ± 0.4; Δ E 00 1.6 ± 0.2). All luting strategies presented high curing potential. Amine-free dual-activated material was able to reduce color difference than that formulated with the amine component. Pre-heated composite produced the least color variation after storage. [ABSTRACT FROM AUTHOR]

Patients with challenging prosthodontic conditions require rehabilitation with a biological, functional, and esthetic approach. When one or more teeth are badly discolored, their restoration is problematic because poor appearance affects not only the crown but also the periodontal tissues. This clinical report describes a complex esthetic rehabilitation with conservative tissue management and ceramic restorations. Subepithelial connective tissue graft surgery and the replacement of a cast metal post with a glass fiber post addressed the problem of a discolored maxillary central incisor. The discolored right maxillary incisor was restored with a combination of a medium-opaque, lithium-disilicate ceramic coping to mask the dark root and to approximate the color of the other incisors. Subsequently, 6 ceramic veneers were placed. A knowledge of the materials' optical properties and adhesion possibilities helped solve this complex problem. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to evaluate the tensile bond strength (TBS) of repairs in recent fillings of methacrylate- (MBC) or silorane-based composites (SBC) subsequent to different surface treatments. Materials and Methods: Fifty slabs of Filtek P60 (3M ESPE, St Paul, USA) and Filtek P90 (3M ESPE) were stored for 10 days in distilled water at 37°C. The surface of adhesion was abraded with a 600-grit silicone paper and repaired using each respective composite: G1, no treatment (control); G2, application of adhesive; G3, application of silane and adhesive; G4, sandblasting (Al2O3) and adhesive; and G5, sandblasting (Al2O3), silane, and adhesive. Further 10 slabs of each composite were also evaluated for cohesive strength (G6). After 30 days immersion in distilled water at 37°C, the TBS was determined. Results: TBS results were higher for MBC than for SBC (P = 0.00012). The experimental groups were similar for SBC and the TBS was 27% of its cohesive strength. For P60, sandblasting significantly improved the TBS compared to other groups. With MBC, G4 and G5, the TBS was approximately 47% of its cohesive strength. Conclusion: Sandblasting (Al2O3) improves the repair-strength of MBC, whilst for the SBC all treatments succeed. MBC presents higher repair strength than SBC. [ABSTRACT FROM AUTHOR]

There are few studies that fully characterize the effect of the filler size on the surface, optical and mechanical properties of resin composites. Aim: To determine the influence of the filler size content on surface, optical and mechanical properties before and after accelerated aging. Methods: Seven resin composites were investigated: Filtek Supreme® (3M/ESPE), Estelite Σ Quick® (Tokuyama), Evolu-X® (Dentsply), Esthet-X HD® (Dentsply), Opallis® (FGM), Herculite XRV Ultra® (Kerr) and Filtek Z250® (3M/ESPE). Elastic modulus (EM) and flexural strength (FS) were determined by three-point bending of specimens immersed or not in absolute ethanol for seven days. Roughness (Ra) and gloss (G.U.) analyses were determined before and after ethanol storage for seven days and CIELAB color change (ΔE*) was obtained with a spectrophotometer. Results were analyzed by two-way ANOVA (general linear model) for EM and FS, with repeated measures for roughness and gloss, and one-way ANOVA for ΔE*. All comparisons were performed by Tukey's test (5%). Pearsons' correlation test was performed to determine the correlation between EM, FS, roughness, gloss, and ΔE* with the mean filler sizes. Results: Mechanical properties decreased for all materials when submitted to immersion in ethanol. Increasing filler size gradually increased EM, FS and roughness values; gloss values decreased and didn't significantly affects ΔE*. Nanofiller composites presented higher gloss values than the others. Conclusions: It was possible to determine that the average filler size is a good predictor just for FS and gloss retention. [ABSTRACT FROM AUTHOR]

There are several degradation mechanisms of resin-composite restorations and possible deleterious effects created by leached components cannot be ignored. Additionally, the surface integrity influences the long-term clinical performance of resincomposite restorations and can be affected by several factors. Novel technologies have been proposed, but there is a lack of information considering the degradation resistance of such materials. The aim of this study was to investigate the degradation resistance of silorane (SIL), pure-ormocer (ORM) and dimethacrylate (ELS and GRD) resin-based dental composites. Water sorption and solubility tests were adapted from ISO4049, color change trough the CIELab parameters after 24h and 30d immersion in distilled water. Knoop hardness readings were performed at the aforementioned periods and the percentage of hardness decrease was considered. Results were analyzed with one-way ANOVA followed by Tukey's test (P = 0.05). SIL and GRD produced lower water sorption than ORM and ELS. SIL presented the lowest solubility. All materials demonstrated acceptable results for color stability. SIL demonstrated the more stable surface, when considering surface hardness, in aqueous environment. It can be concluded that i) silorane and ormocer-based materials did not produced higher color stability than dimethacrylates in distilled aqueous media; and ii) silorane-based materials exhibited lower water solubility and lower hardness decreases after water immersion than dimethacrylate-based resin-composites, while the pure-ormocer-baed material not. [ABSTRACT FROM AUTHOR]

Many developments have been made in the field of resin composites for dental applications. However, the manifestation of shrinkage due to the polymerization process continues to be a major problem. The material's shrinkage, associated with dynamic development of elastic modulus, creates stresses within the material and its interface with the tooth structure. As a consequence, marginal failure and subsequent secondary caries, marginal staining, restoration displacement, tooth fracture, and/or postoperative sensitivity are clinical drawbacks of resin-composite applications. The aim of the current paper is to present an overview about the shrinkage stresses created during resin-composite applications, consequences, and advances. The paper is based on results of many researches that are available in the literature. [ABSTRACT FROM AUTHOR]

This study verified the influence of storage and compressive loads on the microtensile bond strength (µtbs) of an adhesive system when using the conventional technique or collagen removal treatment. Twenty bovine teeth were separated into four groups: G1) adhesive system Prime & Bond NT (PENT) in accordance with the manufacturer's instructions, G2) PBNT after deproteinization with 10% sodium hypochlorite (NaOC1), G3) PBNT in accordance with the manufacturer's instructions + 50,000 compressive cycles and G4) PBNT after deproteinization + 50,000 compressive cycles. After 24 hours, the teeth were sectioned and half of the specimens were stored in water (37°C) for further evaluation (after 60 days). The failure mode was evaluated by scanning electron microscopy (SEM). The bond strength values were separately submitted to two-way ANOVA for each period and the differences among groups were determined by Tukey's test (p=0.05). Comparisons between 24 hours and GO days were determined by multiple paired Student's f-tests (5%). The evaluation at 24 hours revealed that deproteinization did not affect µtbs for the non-cycled groups (G1 = 47.8 ± 4.7 and G2 = 52.4 ± 11.32). For the groups tested after the mechanical cycles, deproteinization produced higher µtbs (G3 = 32.7 ± 9.6 and G4 = 43.3 ± 16.7). At 60 days, deproteinization produced higher µtbs than the manufacturers' recommendations for the cycled and non-cycled groups (GI = 31.5 * 5.8; G2 = 48.8 ± 7.7; G3 = 17.1 ± 7.2 and G4 = 48.8 ± 12.2). In conclusion, the deproteinized groups were less susceptible to degradation than the groups restored with the conventional technique. [ABSTRACT FROM AUTHOR]

Though many advances have been made in the development of dental adhesives, the immediate, or short-term, disruption created by stress — due to polymerization of resin composite restorative materials within dental cavities — is still a challenge yet to be completely solved in restorative dentistry. Therefore, the aim of this paper is to present a general overview of the subject, concerning resin composite formulations, origins of stress, clinical consequences of stress development, in vitro methods used for its measurement and methods used to reduce stress magnitudes and rates of development. [ABSTRACT FROM AUTHOR]

• Bulkfills is considered the most recent approach by the industry and have impacted the possibilities of clinical use. • Manufacturers have claimed to introduce novel technologies to achieve proper depth of cure. • The current scientific investigation demonstrated that bulkfills can be formulated by proper recombination of monomers traditionally used in the manufacture of conventional resin composites. To propose monomer formulations that show an optimal degree of conversion as a function of depth for bulk-fill applications. Four resin blends were formulated with methacrylate-based monomers: BisGMA + TEGDMA (control); BisEMA + BisGMA + TEGDMA (BisEMA-based); UDMA + BisGMA + TEGDMA (UDMA-based) and BisEMA + UDMA + BisGMA + TEGDMA (BisEMA + UDMA-based). For each material, a photoinitiating system and silanized filler particles were added. The rheological analyses were performed with a rotational rheometer using the cone/plate geometry. CIELab coordinates were assessed over black and white backgrounds using a bench spectrophotometer (SP60, X-Rite) to calculate the translucency parameter (TP) for samples with 0.5, 4, and 6 mm thickness. The degree of C C conversion (DC) was determined by infrared spectroscopy (FTIR/ATR) at 0.05 mm (top), 4, and 6 mm depths (bottom), and the bottom-to-top ratio was considered. A broad spectrum–based LED was used for light activation. Analysis of variance and Tukey's test (95%) were performed on the results. The materials tested showed pseudoplastic and thixotropic behavior and a predominance of viscous effects over elastics. The control resin yielded the lowest viscosity for the entire shear rate investigated, followed by the BisEMA-based, BisEMA + UDMA-based, and UDMA-based group, which had the highest viscosity. The UDMA-based material showed the lowest TP as a function of thickness. Both the materials' formulations and depths significantly influenced the DC. The UDMA-based group promoted the highest DC ​​on the top (71 ± 1%) and 4 mm depth (68 ± 1%) but exhibited lower bottom-to-top DC ratio. The BisEMA + UDMA-based material promoted the highest bottom-to-top DC ratio at 4 mm (99%) and 6 mm (97%). The resin matrix interferes in the rheological behavior, translucency parameter, and polymerization capacity as a function of depth. The material formulated with the addition of UDMA and BisEMA demonstrated the highest curing potential as a function of depth and can be useful for bulk-fill applications. [ABSTRACT FROM AUTHOR]

Abstract The aim of this study was to determine the influence of the monomer type and photoinitiator systems on the degree of C=C conversion and color stability of model self-adhesive flowable composites (SAFCs). Three sets of flowable composites were formulated varying the monomer type: set 1 (control), with bisphenol-A glycidyl methacrylate and triethylene glycol dimethacrylate (BisGMA/TEGDMA) at 50/50 wt%; set 2, with BisGMA/TEGDMA/bis[2(methacryloyloxy)ethyl]phosphate (2MP) at 30/30/40 wt%; and set 3, with BisGMA/TEGDMA/4-ethyl-methacryloxy-trimetilato anhydride (4-META) at 30/30/40 wt%. For each set, different initiator systems were added: camphorquinone (CQ) + ethyl-4-dimethylamino benzoate (EDMAB); diphenyl(2,4,6-trimethylbenzoyl)-phosphine oxide (TPO); phenylbis(2,4,6-trimethylbenzoyl)phosphine oxide (BAPO); and the combinations CQ + EDMAB + TPO and CQ + EDMAB + BAPO. Degree of C=C conversion was determined by Fourier-transformed infrared spectroscopy with an attenuated total reflectance device (ATR-FTIR). The color stability was determined by CIE 00 color difference formula (∆ E * 00), after water (T 1) and coffee (T 2) storages for 30 days. Data was submitted to two-way analysis of variance (ANOVA) followed by Student-Newman-Keuls test (α = 0.05). Degree of conversion and color stability were dependent on the resin matrix composition and the photoinitiator system. The 2MP-based set showed the highest DC, but also the poorest color stability. For the 4-META-base set, TPO and BAPO produced the highest degree of C=C conversion. The use of BAPO produced the best color stability for the acidic-monomer-based sets. [ABSTRACT FROM AUTHOR]