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Highlights The characterization of S. persica (Salvadora persica) extract, which involved evaluating its antibacterial activity, demonstrated the extract's strong efficacy. Additionally, incorporating it into PMMA/HA showcased the composite's good antibacterial activity. The objective of this work is to evaluate how the incorporation of S. persica extract affects the wear resistance of the dental composite PMMA/HA, considering the critical importance of wear resistance in dental applications. The wear response of this biocomposite was tested against an Alumina ball using a pin‐on‐disc tribometer. Initially, the hydroxyapatite (HA) micro particles demonstrate a remarkable influence on wear behavior when incorporated at an optimal percentage (10%wt). This optimal inclusion rate not only significantly increases the wear rate but also instigates a shift in the wear mechanism, favoring abrasive wear while minimizing adhesive wear comparing to PMMA. The addition of the extract nanoparticles to the composite PMMA/HA decreases the wear rate except the composite containing 10 wt% of each filler. Additionally, it introduces adhesive wear, in addition to the existing fatigue and abrasion wear. Thus, the composite PMMA/HA could accommodate up to 10 wt% of the S. persica extract as the optimal percentage that provides antibacterial activity to this biocomposite without exhibiting a deterioration in wear performance. The evaluation of the effect of incorporating S. persica extract, which provides antibacterial activity, on the wear resistance of the PMMA/HA dental composite generally demonstrates a reduction in this property. The addition of S. persica extract introduces adhesive wear in addition to the fatigue and abrasion wear already present in the PMMA/HA composite. The composite PMMA/HA can accommodate up to 10 wt% of S. persica extract without compromising its wear performance. [ABSTRACT FROM AUTHOR]

Hexagonal boron nitride (HBN), an artificial material with unique properties, is used in many industries. This article focuses on the extent to which hexagonal boron nitride and silica nanoparticles (MSN) affect the physicochemical and mechanical properties and antimicrobial activity of prepared dental composites. In this study, HBN, and MSN were used as additives in dental composites. 5% and 10% by weight of HBN are added to the structure of the composite materials. FTIR analysis were performed to determine the components of the produced boron nitride powders, hexagonal boron nitride-containing composites, and filling material applications. The structural and microstructural properties of dental composites have been extensively characterized using X-ray diffractometry (XRD). Surface morphology and distributions of nano boron nitride were determined by scanning electron microscopy (SEM)-EDS. In addition, the solubility of dental composites in water and their stability in water and chemical solution (Fenton) were determined by three repetitive experiments. Finally, the antimicrobial activity of dental composites was detected by using Minimum Inhibitory Concentration (MIC) measurement, as well as Minimum Fungicidal Concentration (MFC) method against yeast strain Saccharomyces cerevisiae, and Minimum Bactericidal Concentration (MBC) method against bacteria strains, Staphylococcus aureus and Escherichia coli. Since the HMP series have better antimicrobial activity than the HP series, they are more suitable for preventing dental caries and for long-term use of dental composites. In addition, when HMP and HP series added to the composite are compared, HMP-containing dental composites have better physicochemical and mechanical properties and therefore have a high potential for commercialization. [ABSTRACT FROM AUTHOR]

Porous silica particles have shown great potential application as reinforcing fillers in the field of dentistry due to their ability to construct the micromechanical interlocking effect at filler-matrix interface. However, how to accurately regulate the pore structure, especially the pore size, to increase the degree of the micromechanical interlocking and the performance of materials remains a challenge. Herein, we have proposed a facile self-assembly process to synthesize dendritic porous silica with tunable pore sizes (DPS-x) by adjusting the chain-length of the alcohols in the microemulsion. The mechanism of nucleation-growth is further put forward. The results indicate that the pore size of DPS-x indeed affects the mechanical property of composites, where the DPS-pen particles with intermediate pore size are chosen as the optimal reinforcing fillers. The bimodal and multimodal filler formulations are further established to address the loading limitation of unimodal DPS-pen (46 wt%). In virtue of the close-packed structure of identical spheres, the particle sizes of secondary silica embedded into the maximally loaded bimodal D3S7 composite (DPS-pen:Si430 = 30:70, wt/wt) are theoretically calculated without trials. Among all formulations, the developed multimodal D3S7+Si178+Si90 filler exhibits superior mechanical properties, the lowest shrinkage, and high polymerization conversion for dental composites, along with satisfied waster sorption and solubility, and good biocompatibility in vitro and in vivo, which are comparable to commercial composite Z350 XT (3M, USA). These DPS-x particles and their multimodal fillers can also be applied to other polymer-based biomaterials. [ABSTRACT FROM AUTHOR]

In the present study, a composite composed of resin containing imidazole-GMA resin and a natural filler of silk powder (IGMSP) was used as an alternative to bisphenol A-glycidyl methacrylate (Bis-GMA) dental composites. Dental composite was prepared by both optical and thermal polymerizations. FTIR, 1HNMR spectroscopy, and FESEM-EDX were used to identify the structure and morphology of the synthesized compounds. Thereafter, the thermal properties, water sorption and solubility, and anti-cancer and antibacterial activities of the composite were investigated. The structure of Imidazole-GMA resin as well as the successful surface modification of the filler with Si–O groups were confirmed with 1HNMR and FTIR spectra. Due to the use of natural filler of silk powder, the thermal resistance of the composite was found to be relatively low. The water adsorption and solubility of composite were lower than Bis-GMA. The results of antibacterial properties and cytotoxicity of the composite were much promising due to the presence of imidazole components in the resin structure. This composite was shown to have a significant inhibitory effect on MCF7 cells (IC50 = 11.4 µM, Maximum inhibitory effect 94.68%), and it was proved that Imidazole-GMA has significant effects on all three gram-negative (IZD 27–35 mm) and three gram-positive (IZD 22–29 mm) bacterial species. [ABSTRACT FROM AUTHOR]

In general, patients' opinions on reaching ideal esthetics while restoring dental tissues is one of the most important part of the oral treatment. Unfortunately, discoloration of dental materials may occur due to intrinsic and extrinsic factors. The aim of the study was to evaluate the color stability of frequently used dental resin materials and determine the mechanism of their discoloration. The study used various characterization techniques (optical microscopy, Fourier-transform infrared spectroscopy, low-temperature N2 adsorption, diffuse reflectance spectroscopy, and luminescence) to understand the effect of surface defects on discoloration. The adsorption of model liquids on the surface was confirmed to be related to the increase in BET surface area. The study found that the adsorption of discolorants, such as coffee, tea, and wine, on the surface of the dental material follows the multilayer BET model. When the surface is smooth, the discoloration is usually within acceptable limits, with a maximum of ∆E = 3.3. The discoloration made by tea and demineralized water was within acceptable limits even after 7 days of exposure. [ABSTRACT FROM AUTHOR]

Researchers are focusing on the development of bio-fillers through different approaches for dental purposes. The present work reports a relatively simple and faster chemical approach for synthesising composites using silica from waste rice husk along with PEGMA, PNIPAm, HEMA, APS, and MBA. The synthesis includes no harmful chemical reagents and focuses on the effective management of waste. The X-ray diffraction revealed the crystalline nature of composite and with an average crystallite size of 35 nm for the silica particles. The average particle size for silica was found in the range 200–230 nm from dynamic light scattering having a stable structure with −18.23 ± 0.5 mV as the zeta potential. The porosity was analysed using scanning electron microscopy and the stoichiometric composition by energy-dispersive spectroscopy with the pore size from 95–350 nm. Fourier transform infrared spectroscopy revealed the presence of different functional groups. The thermal stability of silica was analysed through Thermogravimetric analysis. The antibacterial activity of the composite against E.coli and S. aureus demonstrated its efficacy against bacterial growth inhibition. The porous composite can be effectively used as a filler material in potential biomedical applications including dental composite for sustained drug loading and release. [ABSTRACT FROM AUTHOR]

Secondary caries is one of the main reasons for dental filling replacement. There is a need to obtain dental restorative material that is able to act against caries-inducing microorganisms. This study explores the antimicrobial properties of cetyltrimethylammonium bromide (CTAB) or dimethyldioctadecylammonium bromide (DODAB)-modified photo-cured experimental dental composites against Escherichia coli, Streptococcus mutans, and Candida albicans. The antimicrobial activity against Escherichia coli, Streptococcus mutans, and Candida albicans was assessed by using an Accuri C6 flow cytofluorimeter, and then analyzed using BD CSampler software (1.0.264). Bacterial/yeast surface colonization was carried out by using an GX71 inverted-optics fluorescence microscope equipped with a DP 73 digital camera. For bactericidal surface analysis of each sample type, simultaneous standardization was performed using a positive control (live cells) and a negative control (dead cells). A positive correlation between the increasing concentration of CTAB or DODAB and the dead cell ratio of Escherichia coli, Streptococcus mutans, and Candida albicans was revealed. In particular, CTAB at a 2.0 wt% concentration exhibits superior efficiency against pathogens (65.0% dead cells of Escherichia coli, 73.9% dead cells of Streptococcus mutans, and 23.9% dead cells of Candida albicans after 60 min). However, Candida albicans is more resistant to used salts than bacteria. A CTAB- or DODAB-modified experimental dental composite exhibits antimicrobial potential against Escherichia coli, Streptococcus mutans, and Candida albicans after 10 and 60 min of incubation, and the antimicrobial efficiency increases with the wt% of QAS in the tested material. [ABSTRACT FROM AUTHOR]

To investigate the effect of hydrophilic/permeable polymer matrices on water sorption/solubility (WS/SL), Ca2+ release, mechanical properties and hydrolytic degradation of composites containing dicalcium phosphate dihydrate (DCPD) particles. Six composites were tested, all with 10 vol% of glass particles and either 30 vol% or 40 vol% DCPD. Composites containing 1BisGMA:1TEGDMA in mols (at both inorganic levels) were considered controls. Four materials were formulated where 0.25 or 0.5 of the BisGMA/TEGDMA was replaced by pyromellitic dianhydride glycerol dimethacrylate (PMGDM)/ polyethylene glycol dimethacrylate (PEGDMA). Composites were tested for degree of conversion (FTIR spectroscopy), WS/SL (ISO 4049) and Ca2+ release (inductively coupled plasma optical emission spectroscopy). Fracture toughness (FT) and biaxial flexural strength/modulus (BFS/FM) were determined after 24 h and 60 days in water. The contributions of diffusional and relaxational mechanisms to Ca2+ release kinetics were analyzed using the semi-empirical Salim-Peppas model. Data were analysed by ANOVA/Tukey test (alpha: 0.05). WS/SL was higher for composites containing PMGDM/PEGDMA compared to the controls (p < 0.001). Only at 40% DCPD the 0.5 PMGDM/PEGDMA composite showed statistically higher Ca2+ release than the control. Relaxation diffusion was the main release mechanism. Initial FT was not negatively affected by matrix composition. BFS (both DCPD fractions) and FM (30% DCPD) were lower for composites with hydrophilic/permeable networks (p < 0.01). After 60 days in water, composites with PMGDM/PEGDMA presented significant reductions in FT, while all composites had reductions in BFS/FM. Increasing matrix hydrophilicity/permeability significantly increased Ca2+ release only at a high DCPD fraction. • Replacing BisGMA/TEGDMA by PMGDM/PEGDMA increased composite WS/SL. • Increasing polymer hydrophilicity/permeability increased Ca2+ release. • The increase was significant only at the highest DCPD and PMGDM/PEGDMA fractions. • In the first two weeks, Fickian diffusion was the predominant mechanism for most tested materials. • In the long term, Ca2+ released occurred mostly due to relaxational diffusion. [ABSTRACT FROM AUTHOR]

This review article will discuss the origin of resin-based dental composite materials and their adoption as potentially useful adjuncts to the primary material used by most dentists for direct restorations. The evolution of the materials, largely driven by the industry's response to the needs of dentists, has produced materials that are esthetic, strong, and versatile enough to be used in most areas of the oral cavity to replace or restore missing tooth structures. Significant advancements, such as the transition from chemical to light-curing materials, refinements in reinforcing particles to produce optimum polishing and wear resistance, formulating pastes with altered viscosities to create highly flowable and highly stiff materials, and creating materials with enhanced depth of cure to facilitate placement, will be highlighted. Future advancements will likely reflect the movement away from simply being a biocompatible material to one that is designed to produce some type of beneficial effect upon interaction within the oral environment. These new materials have been called "bioactive" by virtue of their potential effects on bacterial biofilms and their ability to promote mineralization of adjacent tooth structures. [ABSTRACT FROM AUTHOR]

The degree of monomer conversion (DC) values of three different dental composites were examined using three different methods: surface microhardness (ratio of bottom/top), Fourier-transform infrared (FT-IR), and differential scanning calorimetry (DSC). Two of the dental composites included in the study were nanohybrid (Dentsply Neo Spectra ST HV and Omnichroma), and one was a microhybrid-labeled newly marketed composite containing nanoparticles (Dentac Myra). Composite discs were prepared according to the methodology for all methods and analyzed (2 mm thickness × 5 mm diameter). Surface microhardness values were measured in Vickers Hardness Number (VHN), while FT-IR and DSC values were obtained in percentage (%). Significant differences were observed in both bottom/top surface microhardness values and DC values obtained from FT-IR. However, there was no statistical difference in the ratio of bottom/top microhardness values. Neo Spectra ST HV exhibited superior performance in both microhardness and monomer conversion compared to the other two composites. Newly marketed Myra showed values close to Omnichroma. It was found that the values obtained by the DSC method were parallel to those obtained by FT-IR. In conclusion, the structure of dental composites leads to different mechanical properties. Additionally, DSC measurements and FTIR spectra were found to be complementary techniques for characterizing monomer conversion values. [ABSTRACT FROM AUTHOR]

Background: Clinical practitioners may have become familiar with the rapid transformation of dental composites. However, they may not scientifically understand the factors influencing the mechanical and physical properties. Scientific knowledge of filler‐resin interaction can significantly improve clinical understanding of resin composites. Several independent studies have examined the mechanical and physico‐mechanical properties of dental resin composites; however, no comprehensive study has examined the influence of fillers and resin materials on the physico‐mechanical properties of both self‐cure and dual‐cure composites. Methods: This study performed investigations on the physico‐mechanical behaviour of four commercially available dual‐cure dental composites (Bioactive, Fill Up!, Surefil One, Cention N) and two commercially available self‐cure dental composites (Stela Capsule and Stela Automix). Test specimens for flexural and compressive strength, microhardness, fracture toughness, and hydrolytic behaviour were prepared and tested as per respective standards. The data sets were statistically analysed using one‐way ANOVA and Tukey's post‐hoc comparison. Results: There was a substantial variation in flexural strength and modulus values in this study, ranging from 32.0 to 113.4 MPa and 2.36 to 12.07 GPa, respectively. Similarly, there were significant differences in compressive strength between the materials in this study, ranging from 119.3 to 223.5 MPa. The highest fracture toughness value was found to be 1.41 MPa.m0.5, while the lowest value was 0.43 MPa.m0.5. Variations in surface microhardness were significant (24.11–68.0 N/mm2), which correlated with the filler content. Water sorption and solubility demonstrated high variations among materials, with Surefil One exceeding ISO 4049 thresholds significantly. Conclusions: A linear correlation can be established between surface microhardness (HV) and flexural and compressive moduli, as well as filler content (wt.%). However, both flexural and compressive strengths are impacted by the resin's constituent monomers and the resin‐filler matrix's cross‐linking capability. Additionally, factors such as filler size, shape, and the cross‐linking ability of the resin‐filler matrix play a crucial role in fracture toughness and the propagation of cracks within the restoration. Also, resin monomers and filler particle size affect the hydrolytic degradation characteristics of composites, which can also affect their mechanical properties. © 2023 Australian Dental Association. [ABSTRACT FROM AUTHOR]

Background: The purpose of the study was to compare the microhardness values of composite resins polymerized with different modes of a third-generation light curing unit (LCU). Methods: Three nanohybrid composites (Filtek Z550 3M ESPE MN USA, Spectra ST HV Konstanz GERMANY, Tetric N-Ceram Liechtenstein) and one mircohybrid composite (Filtek Z250 3M ESPE MN USA) were used. Eighteen samples (8 x 2 mm) were prepared for each composite (n = 18). Half of them were cured with light-emitting diode (LED) LCU's (VALO; Ultradent USA) standard mode, the other half were cured in Xtra power mode. The Vickers microhardness test was performed at the polished surface for 3 times of each specimen. Results: For each composite, no significant difference was detected between the cure modes. For standard mode, a statically significant difference was detected between all composites, except for Tetric N-Ceram and Spectra ST HV. For Xtra power mode, a significant difference was detected between all composites, except for Z550 and Z250. Conclusion: Xtra power cure for a microhybrid composite was showed the highest microhardness value. When the composites were compared with each other, the effect of Xtra power on microhardness values varied depending on the composites. The modes used of the light device did not affect the microhardness values of the composite resins used in the study. [ABSTRACT FROM AUTHOR]

Knowing the impacts of bisphenol A (BPA) on human health, this systematic review aimed to gather the analytical methods for the quantification of BPA release of BPA in dental materials in in vitro and in vivo (biological fluids) studies. A brief critical discussion of the impacts of BPA on human health and the possible association with BPA in dental materials was also presented. The research was carried out by three independent researchers, (according to PRISMA guidelines) in PUBMED and SCOPUS databases, by searching for specific keywords and articles published between January 2011 and February 2022. Seventeen articles met the eligibility criteria and were included in this systematic review: 10 in vitro and 7 in vivo. In in vitro studies, the highest amounts of BPA released were from flowable to conventional resins, followed by resin-modified glass ionomer. In contrast, the smallest amount was released from "BPA-free" composites and CAD-CAM blocks. Regarding in vivo studies, a higher concentration of BPA were found in saliva than urine or blood. The best analytical method for trace quantifying BPA is LC-MS/MS (Liquid Chromatography with Tandem Mass Spectrometry) due to its selectivity, low quantification limits, and the unequivocal identification. However, further studies are required to develop faster and more sensitive methods, in order to obtain more reliable results. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the effect of dentin hypersensitivity treatments on immediate and long-term shear bond strength (SBS) of composite restorations. Ninety non-carious extracted human molars were cut to expose dentin, which was embedded in acrylic resin, and randomly divided into three groups (n = 30/group) according to surface treatment: 1) no treatment (C and C*; control); 2) silver diamine fluoride with potassium iodide (SDF/KI and SDF/KI*; Riva Star); and 3) nano-hydroxyapatite (nHAp and nHAp*; PrevDent). The specimens were etched through the etch-and-rinse technique, followed by universal adhesive application and resin composite cylinders (2.38 mm in diameter × 3.5 mm high). The SBS was tested immediately (24 h after the restoration) and after thermocycling (*) (5000 cycles, 5 °C to 55 °C) at a 0.5 mm/min crosshead speed using a universal testing machine. A stereomicroscope was used to evaluate the mode of failure, and representative scanning electron microscopy (SEM) images were also acquired. Data normality was verified, and two-way ANOVA and Tukey's post hoc tests were performed for multiple comparisons (α = 0.05). The control group presented the highest SBS (27.10 MPa), while SDF/KI* had the lowest values (6.87 MPa). nHAp-based desensitizer exhibited higher SBS than SDF/KI for both immediate (22.6 MPa) and thermocycled (19.03 MPa) conditions. No intragroup difference was evidenced between immediate and thermocycled samples for any group. Most specimens for the C and nHAp groups presented mixed failure, while the SDF/KI groups presented comparable adhesive and mixed failures. The SBS of adhesive restorations after the application of desensitizing agents is material dependent, where SDF/KI reduces SBS values below the acceptable minimum bond strength, while the nHAp application meets the minimally required bond strength. [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the remineralizing properties of ion-releasing restorative materials on pH cycling-induced carious dentin. Fifty sound molars were freshly extracted. The occlusal surfaces were abraded using water-cooled sandpaper (800 grit). The residual crowns were embedded in self-cured acrylic resin with the flat dentin surface exposed. A mesio-distal trench was created using a calibrated 0.5 mm deep occlusal reduction burr, and artificial dentin caries were generated by pH cycling. Then, teeth were randomly assigned to five groups according to the ion-releasing material used. For each sample, micro-CT acquisitions were performed at various intervals. Remineralization was assessed by mean gray value (MGV) measurements after registration and segmentation of the region of interest with 3D Slicer software. One-way repeated-measures ANOVA followed by Tukey's post hoc test was used to investigate the difference in MGVs among the various groups. Only Cention Forte showed significantly increased MGVs after 4 weeks compared to demineralized dentin. MGVs were higher, but not significantly, after placement of the restorative materials, including in the resin composite control group. These results can be explained by the radiopacity of the materials. Cention Forte, the material with the highest radiopacity, showed a significant increase in the MGVs of artificially carious dentin after 4 weeks. However, the study of dentin remineralization by micro-CT could be impacted by the radiopacity of the restorative materials used. The relevance of this examination for the study of dentinal remineralization should be investigated. [ABSTRACT FROM AUTHOR]

ObjectivesTo determine which components in a new restorative material (Renewal MI) improve its ability to form resin tags within demineralized dentine.MethodsVaried components included polylysine (PLS), monocalcium phosphate (MCP), powder to liquid ratio (PLR), 4-methacryloyloxyethyl trimellitate anhydride (4META), and polypropylene glycol dimethacrylate (PPGDMA). Urethane dimethacrylate (UDMA), containing PPGDMA (24 wt%) and 4META (3 wt%), was mixed with glass filler with MCP (8 wt%) and PLS (5 wt%). PLR was 3:1 or 5:1. Reducing MCP and/or PLS to 4 and 2 wt% respectively or fully removing MCP, PLS, 4META or PPGDMA gave 16 formulations in total. Renewal MI, Z250 (with or without Scotchbond Universal adhesive) and Activa were used as commercial comparators. Collagen discs were obtained by totally demineralizing 2 mm thick, human, premolar, coronal dentine discs by immersion in formic acid (4M) for 48 h. The restorative materials were then applied on top (n = 3), before dissolving the collagen in sodium hypochlorite (15%). SEM/EDX was employed to determine resin tags length, composition, and surface coverage.ResultsTags were >400, 20 and 200 µm and covered 62, 55 and 39% of the adhesion interface for Renewal MI, Scotchbond and Activa, respectively. With experimental formulations, they were 200 and >400 µm long with high vs. low PLR and composed primarily of polymerized monomers. Percentages of the adhesion interface covered varied between 35 and 84%. Reducing PLS or MCP caused a decline in coverage that was linear with their concentrations. Reducing MCP had lesser effect when PLS or PLR were low. Removal of 4META caused a greater reduction in coverage than PPGDMA removal.ConclusionPLS, MCP, 4META, PPGDMA and low PLR together enhance Renewal MI tags formation in, and thereby sealing of, demineralized dentine.

Abstract Aim The purpose of this study was to i) synthesise TEGDMA-DHEPT microcapsules in a laboratory setting; ii) characterise the resultant microcapsules for quality measures. Materials & methods Microcapsules were prepared by in situ polymerization of PUF shells. Microcapsules characterisation include size analysis, optical and SEM microscopy to measure the diameter and analyse the morphology of PUF microcapsules. FT-IR spectrometer evaluated microcapsules and benzyl peroxide catalyst polymerization independently. Result Average diameter of TEGDMA-DHEPT microcapsules was 120 ± 45 μm (n: 100). SEM imaging of the capsular shell revealed a smooth outer surface with deposits of PUF nanoparticles that facilitate resin matrix retention to the microcapsules upon composite fracture. FT-IR spectra showed that microcapsules crushed with BPO catalyst had degree of conversion reached to 60.3%. Conclusion TEGDMA-DHEPT microcapsules were synthesised according to the selected parameters. The synthesised microcapsules have a self-healing potential when embedded into dental resin composite as will be demonstrated in our future work. Graphical Abstract Graphical abstract showing the microcapsule components. The shell contains poly(urea-formaldehyde), and the core consists of TEGDMA-DHEPT healing agents.

Since dental materials are worn down over time and eventually need to be replaced. Resin composites are frequently employed as dental restorative materials. By employing the in-vitro test findings of the pin-on-disc tribometer [ASTM G99-04], the goal of this study is to evaluate the capability of three different machine learning (ML) models in analyzing the wear of dental composite materials when immersed in chewable tobacco solution. Four distinct dental composite material samples are used in this investigation, and after being dipped in a chewing tobacco solution for a few days, the samples are taken out and subjected to a wear test. Three different ML models (MLP, KNN, XGBoost) have been chosen for predicting the wear of dental composite specimens. XGBoost ML model yields an R2 value of 0.9996 and it performs noticeably better than the other approaches. [ABSTRACT FROM AUTHOR]

The aim of this study is to comparatively investigate changes in mechanical properties by adding five different types of boron derivatives to a microhybrid dental composite structure. In this study, which evaluated upper and lower surface microhardness (VHN), roughness (Ra), and color stability (∆E), a total of 126 discs were used (n = 7; per each subgroup). All boron derivatives were added to the dental composite structure in equal proportions in a dark room to create experimental composites (5% w/w). To enable comparison, a default composite without the addition of any boron derivative served as the negative control group. Before measurements, all samples were incubated at 37 °C for 24 h. For surface microhardness, roughness, and color stability, all experimental groups were statistically significant within themselves (p < 0.001). The group with borax pentahydrate exhibited the highest VHN value on the upper surface, while the lowest value was observed in the group with etifert. It was found that all experimental groups showed a decrease in lower surface microhardness compared to the control group (p < 0.001). Although the eticol-ceramic-added group had the lowest roughness values, this group also exhibited significantly higher ∆E values compared to the other groups. Surface roughness showed a negative correlation with ∆E and upper surface microhardness values for all experimental groups (respectively p = 0.038; r = −0.185/p = 0.006; r = −0.245). To sum up, the addition of boron derivatives to composites, except for etifert, increased upper surface microhardness values; however, except for eticol-ceramic, surface roughness values also increased. Nevertheless, the addition of boron derivatives, except for eticol-ceramic, ensures color stabilization. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this study was to i) synthesise TEGDMA-DHEPT microcapsules in a laboratory setting; ii) characterise the resultant microcapsules for quality measures. Materials & methods: Microcapsules were prepared by in situ polymerization of PUF shells. Microcapsules characterisation include size analysis, optical and SEM microscopy to measure the diameter and analyse the morphology of PUF microcapsules. FT-IR spectrometer evaluated microcapsules and benzyl peroxide catalyst polymerization independently. Result: Average diameter of TEGDMA-DHEPT microcapsules was 120 ± 45 μm (n: 100). SEM imaging of the capsular shell revealed a smooth outer surface with deposits of PUF nanoparticles that facilitate resin matrix retention to the microcapsules upon composite fracture. FT-IR spectra showed that microcapsules crushed with BPO catalyst had degree of conversion reached to 60.3%. Conclusion: TEGDMA-DHEPT microcapsules were synthesised according to the selected parameters. The synthesised microcapsules have a self-healing potential when embedded into dental resin composite as will be demonstrated in our future work. Graphical abstract showing the microcapsule components. The shell contains poly(urea-formaldehyde), and the core consists of TEGDMA-DHEPT healing agents. [ABSTRACT FROM AUTHOR]

Resin-based dental composites (RBC) release cytotoxic components, however the extent of the elution from preheated RBCs is barely investigated. The aim was therefore to determine the cytotoxic effect of preheated conventional, bulk, and thermoviscous RBCs of clinically relevant sizes using different cell viability methods in a contact-free model. Samples (6 × 4 mm) were prepared from conventional [Estelite Sigma Quick (ESQ), Filtek Z250 (FZ)] and bulk-filled [Filtek One BulkFill Restorative (FOB), SDR Plus Bulk Flow (SDR), VisCalor Bulk (VCB)] RBCs. The pre-polymerization temperature was set to room temperature (RT) and 55/65 °C. Pulp cells were cultured, followed by a 2-day exposure to monomers released from solid RBC specimens suspended in the culture medium. Cytotoxicity was assessed using a WST-1, MTT, and LDH colorimetric viability assays. Data were analyzed using one-way ANOVA, Tukey's post hoc test, multivariate analysis, and independent t-test. The effect size (ƞp2) of material and temperature factors was also assessed. All the RBCs demonstrated cytotoxic effect upon exposure to pulp cells, but to a varying extent (ESQ >> VCB > FZ = FOB = SDR). The effect of pre-polymerization temperature was insignificant (ƞp2 < 0.03), except for the thermoviscous RBC, which showed inconsistent findings when subjected to distinct viability tests. Cell viability was predominantly dependent on the type of material used (p < 0.001) which showed a large effect size (ƞp2 > 0.90). Irrespective of the pre-polymerization temperature, RBC samples in a clinically relevant size can release monomers to such an extent, which can substantially decrease the cytocompatibility. [ABSTRACT FROM AUTHOR]

With the phase-out of amalgam and the increase in minimally invasive dentistry, there is a growing need for high-strength composite materials that can kill residual bacteria and promote tooth remineralization. This study quantifies how antibacterial polylysine (PLS) and re-mineralizing monocalcium phosphate monohydrate (MCPM) affect Streptococcus mutans biofilms and the strength of dental composites. For antibacterial studies, the MCPM-PLS filler percentages were 0-0, 8-4, 12-6, and 16-8 wt% of the composite filler phase. Composite discs were immersed in 0.1% sucrose-supplemented broth containing Streptococcus mutans (UA159) and incubated in an anaerobic chamber for 48 h. Surface biomass was determined by crystal violet (CV) staining. Growth medium pH was measured at 24 and 48 h. Biofilm bacterial viability (CFU), exo-polysaccharide (water-soluble glucan (WSG) and water-insoluble glucan (WIG)), and extracellular DNA (eDNA) were quantified. This was by serial dilution plate counting, phenol-sulfuric acid microassay, and fluorometry, respectively. The biaxial flexural strengths were determined after water immersion for 1 week, 1 month, and 1 year. The MCPM-PLS wt% were 8-4, 8-8, 16-4 and 16-8. The normalized biomass, WSG, and WIG showed a linear decline of 66%, 64%, and 55%, respectively, as the PLS level increased up to 8%. The surrounding media pH (4.6) was all similar. A decrease in bacterial numbers with the 12-6 formula and a significant reduction with 16-8 compared to the 0-0 formulation was observed. The eDNA concentrations in biofilms formed on 12-6 and 16-8 formulations were significantly less than the 0-0 control and 8-4 formulations. Doubling MCPM and PLS caused a 14 and 19% reduction in strength in 1 week, respectively. Average results were lower at 1 month and 1 year but affected less upon doubling MCPM and PLS levels. Moreover, a 4% PLS may help to reduce total biomass and glucan levels in biofilms on the above composites. Higher levels are required to reduce eDNA and provide bactericidal action, but these can decrease early strength. [ABSTRACT FROM AUTHOR]

Dental resin composites (DRCs) have gained immense popularity as filling material in direct dental restorations. They are highly valued for their ability to closely resemble natural teeth and withstand harsh oral conditions. To increase the clinical performance of dental restorations, various fillers are incorporated into DRCs. Herein, the effect of incorporating pre-polymerized triethylene glycol dimethacrylate (P-TEGDMA) as a co-filler in varying proportions (0%, 2.5%, 5%, and 10% by weight) into bisphenol A-glycidyl methacrylate (BisGMA)/TEGDMA/SiO2 resin composite was investigated. The obtained DRCs were examined for morphology, rheological properties, degree of crosslinking (DC), Vickers microhardness (VMH), thermal stability, and flexural strength (FS). The results revealed that SiO2 and P-TEGDMA particles were uniformly dispersed. The introduction of P-TEGDMA particles (2.5 wt.%) into the resin composite had a remarkable effect, leading to a significant reduction (p ≤ 0.05) in complex viscosity, decreasing from 393.84 ± 21.65 Pa.s to 152.84 ± 23.94 Pa.s. As a result, the DC was significantly (p ≤ 0.05) improved from 61.76 ± 3.80% to 68.77 ± 2.31%. In addition, the composite mixture demonstrated a higher storage modulus (G′) than loss modulus (G″), indicative of its predominantly elastic nature. Moreover, the thermal stability of the DRCs was improved with the addition of P-TEGDMA particles by increasing the degradation temperature from 410 °C to 440 °C. However, the VMH was negatively affected. The study suggests that P-TEGDMA particles have the potential to be used as co-fillers alongside other inorganic fillers, offering a means to fine-tune the properties of DRCs and optimize their clinical performance. [ABSTRACT FROM AUTHOR]

Even after more than six decades of dental composite invention (1962), there is still controversial information about the time in which composite restorations should be polished in order to avoid marginal gap formation at the tooth–composite interface. The aim of the present study was to analyze the influence of adhesive strategy, the type of dental composite, and polishing time on marginal gap formation (%MG) at the tooth–composite interface. Class I-like cavities were hybridized with a universal adhesive system (Single Bond Universal) through two strategies: selective enamel etching (SEE) or self-etching mode (SEM). Cavities were filled with two types of dental composites: nanofilled (Z350) or bulk fill (Filtek One Bulk Fill—ONE), and polishing was performed immediately or delayed for 7 days (n = 5). %MG was evaluated by using a 3D laser confocal microscope. As flexural modulus (FM) and degree of conversion (DC%) are determinants of marginal integrity in dental composite restorations, these properties were evaluated for both composites. Data were analyzed by ANOVA and Tukey's HSD test (α = 0.05). Cavities hybridized following the SEE strategy presented lower %MG (p < 0.05). Z350 showed higher %MG than ONE (p < 0.05). There was no difference in %MG between the polishing times when the SEE strategy was used (p > 0.05). Z350 presented higher FM than ONE (p < 0.05). DC% was found to be not significant (p > 0.05). The results suggest that selective enamel etching (SEE) is a better strategy for producing less %MG in composite restorations with enamel margins irrespective of the time in which the restoration is polished. [ABSTRACT FROM AUTHOR]

The aim was to develop bone composites with similar working times, faster polymerisation and higher final conversion in comparison to Cortoss™. Additionally, low shrinkage/heat generation and improved short and longer-term mechanical properties are desirable. Four urethane dimethacrylate based composites were prepared using tri-ethylene-glycol dimethacrylate (TEGDMA) or polypropylene dimethacrylate (PPGDMA) diluent and 0 or 20 wt% fibres in the glass filler particles. FTIR was used to determine reaction kinetics, final degrees of conversions, and polymerisation shrinkage/heat generation at 37 °C. Biaxial flexural strength, Young's modulus and compressive strength were evaluated after 1 or 30 days in water. Experimental materials all had similar inhibition times to Cortoss™ (140 s) but subsequent maximum polymerisation rate was more than doubled. Average experimental composite final conversion (76%) was higher than that of Cortoss™ (58%) but with less heat generation and shrinkage. Replacement of TEGDMA by PPGDMA gave higher polymerisation rates and conversions while reducing shrinkage. Early and aged flexural strengths of Cortoss™ were 93 and 45 MPa respectively. Corresponding compressive strengths were 164 and 99 MPa. Early and lagged experimental composite flexural strengths were 164–186 and 240–274 MPa whilst compressive strengths were 240–274 MPa and 226–261 MPa. Young's modulus for Cortoss™ was 3.3 and 2.2 GPa at 1 day and 1 month. Experimental material values were 3.4–4.8 and 3.0–4.1 GPa, respectively. PPGDMA and fibres marginally reduced strength but caused greater reduction in modulus. Fibres also made the composites quasi-ductile instead of brittle. The improved setting and higher strengths of the experimental materials compared to Cortoss™, could reduce monomer leakage from the injection site and material fracture, respectively. Lowering modulus may reduce stress shielding whilst quasi-ductile properties may improve fracture tolerance. The modified dental composites could therefore be a promising approach for future bone cements. • Experimentals showed sharper set and better strength after aging compared to Cortoss™. • Tailoring the monomer system and adding fibres improved kinetics and fracture behaviour. • Modifying dental composites is promising for new generations of improved bone cements. [ABSTRACT FROM AUTHOR]

In general, patients’ opinions on reaching ideal esthetics while restoring dental tissues is one of the most important part of the oral treatment. Unfortunately, discoloration of dental materials may occur due to intrinsic and extrinsic factors. The aim of the study was to evaluate the color stability of frequently used dental resin materials and determine the mechanism of their discoloration. The study used various characterization techniques (optical microscopy, Fourier-transform infrared spectroscopy, low-temperature N2 adsorption, diffuse reflectance spectroscopy, and luminescence) to understand the effect of surface defects on discoloration. The adsorption of model liquids on the surface was confirmed to be related to the increase in BET surface area. The study found that the adsorption of discolorants, such as coffee, tea, and wine, on the surface of the dental material follows the multilayer BET model. When the surface is smooth, the discoloration is usually within acceptable limits, with a maximum of ∆E = 3.3. The discoloration made by tea and demineralized water was within acceptable limits even after 7 days of exposure.

Secondary caries is one of the main reasons for dental filling replacement. There is a need to obtain dental restorative material that is able to act against caries-inducing microorganisms. This study explores the antimicrobial properties of cetyltrimethylammonium bromide (CTAB) or dimethyldioctadecylammonium bromide (DODAB)-modified photo-cured experimental dental composites against Escherichia coli, Streptococcus mutans, and Candida albicans. The antimicrobial activity against Escherichia coli, Streptococcus mutans, and Candida albicans was assessed by using an Accuri C6 flow cytofluorimeter, and then analyzed using BD CSampler software (1.0.264). Bacterial/yeast surface colonization was carried out by using an GX71 inverted-optics fluorescence microscope equipped with a DP 73 digital camera. For bactericidal surface analysis of each sample type, simultaneous standardization was performed using a positive control (live cells) and a negative control (dead cells). A positive correlation between the increasing concentration of CTAB or DODAB and the dead cell ratio of Escherichia coli, Streptococcus mutans, and Candida albicans was revealed. In particular, CTAB at a 2.0 wt% concentration exhibits superior efficiency against pathogens (65.0% dead cells of Escherichia coli, 73.9% dead cells of Streptococcus mutans, and 23.9% dead cells of Candida albicans after 60 min). However, Candida albicans is more resistant to used salts than bacteria. A CTAB- or DODAB-modified experimental dental composite exhibits antimicrobial potential against Escherichia coli, Streptococcus mutans, and Candida albicans after 10 and 60 min of incubation, and the antimicrobial efficiency increases with the wt% of QAS in the tested material.

This review article will discuss the origin of resin-based dental composite materials and their adoption as potentially useful adjuncts to the primary material used by most dentists for direct restorations. The evolution of the materials, largely driven by the industry’s response to the needs of dentists, has produced materials that are esthetic, strong, and versatile enough to be used in most areas of the oral cavity to replace or restore missing tooth structures. Significant advancements, such as the transition from chemical to light-curing materials, refinements in reinforcing particles to produce optimum polishing and wear resistance, formulating pastes with altered viscosities to create highly flowable and highly stiff materials, and creating materials with enhanced depth of cure to facilitate placement, will be highlighted. Future advancements will likely reflect the movement away from simply being a biocompatible material to one that is designed to produce some type of beneficial effect upon interaction within the oral environment. These new materials have been called “bioactive” by virtue of their potential effects on bacterial biofilms and their ability to promote mineralization of adjacent tooth structures.

ABSTRACT: Objective: The aim of this research was to assess the effect of incorporating zein-coated magnesium oxide (zMgO) nanofillers to resin-based composite on the internal adaptation of the restorations using cross-polarisation optical coherence tomography (CP-OCT). Methods: Thirty noncarious human molar teeth were used. Class V cavities (3 × 5 mm) were prepared on the buccal and lingual surfaces of each tooth. Clearfil SE Bond 2 was applied to all the cavities and then the teeth were divided into 3 groups (n = 10) as follows: group 1–restored with N-Flow composite; group 2 and group 3–restored with N-Flow composite mixed with different zMgO nanoparticle concentrations (0.3% and 0.5% by weight, respectively) and then light cured using an LED curing device. Specimens were examined for interfacial adaptation examination under CP-OCT. Characterisation of the dental composite incorporating zMgO was done by Fourier-transform infrared spectroscopy (FTIR), x-ray diffraction (XRD), and field emission scanning electron microscopy (FESEM). Results were analysed with Kruskall–Wallis test followed by Mann–Whitney U test, at a significance level of P < .05. Results: XRD spectra exhibited the sharp peaks of zMgO in the composite enhanced with zMgO nanoparticles. FESEM analysis showed a uniform distribution of the zMgO nanoparticles in the composite and FTIR illustrated no change in the spectra. The gap percentage along the cavity floor was significantly lower in groups 2 and 3 in comparison to group 1 (P < .05). Also there was a significant difference in gap percentages between groups 2 and 3 (P < .05), with group 3 showing the lowest gap percentage. Conclusions: The incorporation of 0.3% and 0.5% zMgO nanoparticles in flowable composite assists in improving the internal adaptation of the composite to the tooth surface.

The aim was to investigate the effect of particles released during grinding of dental composites on human gingival keratinocytes (HGK). Specimens from Filtek™ Supreme XTE and ceram.x® universal were prepared and ground to dust. The dust was filtered (≤ 5 µm) and the particle size distribution was examined using NANO-flex®-180° dynamic light scattering (DLS). Suspensions at five concentrations (3, 10, 30, 100 and 300 µg/mL) were prepared using keratinocyte growth medium (KGM). These suspensions, as well as a positive (CuO) and a negative control (KGM) were added to HGK. The cells treated with Filtek™ Supreme XTE suspensions were analyzed by real-time monitoring using RTCA iCELLigence™. In addition, light and scanning electron microscopic images of the exposed cells were taken. Indirect immunofluorescence staining was performed to detect the extracellular matrix protein fibronectin. In distilled water, DLS showed similar particles' range (171.9 nm- 2.7 µm) for both composites. In saliva, larger particles were detected (Filtek™ Supreme XTE: 243 nm-6,5 µm; ceram.x® universal: 204 nm- 4,6 µm). iCELLigence™ revealed similar results of cell growth parameters for HGK incubated with composite dust (≤ 5 µm) at different concentrations. The microscopic images indicated unaltered cell structures and formation of large agglomerates with high particle concentration (> 100 µg/mL). Exposure to composite dust resulted in upregulation of fibronectin expression. Grinding of dental composite materials generates dust particles of different sizes. The particle size distribution seems to be more influenced by the suspending medium than the material itself. While cell growth of HGK seem not to be affected by the particles, an upregulation of fibronectin in the intercellular space concomitant by increasing particle concentration may indicate an increase of cell migration/mobility. • Grinding of composites can generate dust particles in the nanoscale range. • The surrounding medium influences the size of composite dust particles. • HGK exposure to composite dust results in upregulation of fibronectin in the intercellular space. [ABSTRACT FROM AUTHOR]

As cementation represents the last stage of the work involved in making various indirect restorations (metal ceramic crowns and bridges, full ceramic crowns and bridges, inlays, onlays, and fiber posts), its quality significantly contributes to the clinical success of the therapy performed. In the last two decades, the demand for ceramic indirect restorations in everyday dental practice has considerably increased primarily due to the growing significance of esthetics among patients, but also as a result of hypersensitivity reactions to dental alloys in some individuals. In this context, it is essential to ensure a permanent and reliable adhesive bond between the indirect restoration and the tooth structure, as this is the key to the success of aesthetic restorations. Resin-based luting materials benefit from excellent optical (aesthetic) and mechanical properties, as well as from providing a strong and durable adhesive bond between the restoration and the tooth. For this reason, resin cements are a reliable choice of material for cementing polycrystalline ceramic restorations. The current dental material market offers a wide range of resin cement with diverse and continually advancing properties. In response, we wish to note that the interest in the properties of resin-based cements among clinicians has existed for many years. Yet, despite extensive research on the subject and the resulting continued improvements in the quality of these materials, there is still no ideal resin-based cement on the market. The manuscript authors were guided by this fact when writing the article content, as the aim was to provide a concise overview of the composition, properties, and current trends, as well as some future guidelines for research in this field that would be beneficial for dental practitioners as well as the scientific community. It is extremely important to provide reliable and succinct information and guidelines for resin luting materials for dental dental practitioners. [ABSTRACT FROM AUTHOR]

Introduction Recurrent caries can occur in different restorative materials. This is the significant factor in the failure and replacement of restorative materials. Early lesion detection is crucial to improve the chances of good treatment outcome and prevent significant hard tissue loss. The objectives of this study were to determine the prevalence of recurrent caries and it's association with different restorative materials in South Indian Coastal population. Materials and Methods A total of 560 restorations in 183 patients, who visited A B Shetty Memorial Institute of Dental Sciences, Deralakatte were examined clinically and radiographically for the presence of secondary caries. Patients in the age group of 18-60 years were included in the study. Results A total of 245 restorations were diagnosed with recurrent caries, which gives an overall prevalence of 47%. The percentage of recurrent caries was significantly higher with composite restorations and were seen in class II gingival margins. Conclusion Prevalence of secondary caries was higher with composite restorations, gingival margins of Class II restorations were more prone for secondary caries. Overall the prevalence of secondary caries in South Indian coastal population was high. Emphasis should be based on prevention, early diagnosis and management of SC. [ABSTRACT FROM AUTHOR]

Patients with tooth wear are commonly encountered in general dental practice. When indicated, restorative rehabilitation is often accompanied by a request from the patient for an aesthetic, tooth-coloured outcome. This article seeks to provide an evidence-based approach, focussing on the longevity of the materials which can be used for the restorative treatment of tooth wear, as well as their modes of failure and observed performance. [ABSTRACT FROM AUTHOR]

The degree of monomer conversion (DC) values of three different dental composites were examined using three different methods: surface microhardness (ratio of bottom/top), Fourier-transform infrared (FT-IR), and differential scanning calorimetry (DSC). Two of the dental composites included in the study were nanohybrid (Dentsply Neo Spectra ST HV and Omnichroma), and one was a microhybrid-labeled newly marketed composite containing nanoparticles (Dentac Myra). Composite discs were prepared according to the methodology for all methods and analyzed (2 mm thickness × 5 mm diameter). Surface microhardness values were measured in Vickers Hardness Number (VHN), while FT-IR and DSC values were obtained in percentage (%). Significant differences were observed in both bottom/top surface microhardness values and DC values obtained from FT-IR. However, there was no statistical difference in the ratio of bottom/top microhardness values. Neo Spectra ST HV exhibited superior performance in both microhardness and monomer conversion compared to the other two composites. Newly marketed Myra showed values close to Omnichroma. It was found that the values obtained by the DSC method were parallel to those obtained by FT-IR. In conclusion, the structure of dental composites leads to different mechanical properties. Additionally, DSC measurements and FTIR spectra were found to be complementary techniques for characterizing monomer conversion values.

Bioactive materials have emerged as a promising alternative to conventional restorative materials as part of more conservative dentistry. The aim of this study was to evaluate and compare the shear bond strength (SBS) and microleakage of a new bioactive restorative material, two bulk-fill restorative composites, and a conventional composite at 24 h, 4 weeks, and 8 weeks. Three hundred and sixty molars and premolars were divided into four groups: ACTIVA™ BioACTIVE Restorative™, Filtek™ Bulk-Fill Restorative Composite, Tetric® N-Ceram Bulk-Fill Composite, and G-aenial® Composite. The normality of the data was determined with the Kolmogorov-Smirnov test, then the two-way ANOVA and Fisher's test were used for analyzing SBS data, and the Kruskal-Wallis and DSCF tests were conducted to analyze the microleakage. In the SBS test, there were no statistically significant differences between materials (p = 0.587), and the relation between material and time (p = 0.467), time points showed statistically significant differences (p = 0.016). As for the microleakage, statistically significant differences were found for all three time periods (p < 0.05), showing the conventional composite to have the lowest microleakage, followed by the bioactive material, and lastly the two bulk-fill composites. In conclusion, the new bioactive material has similar evaluated properties to bulk-fill composites (bond strength) and conventional composites (bond strength and microleakage) and can be used as an alternative restorative material. [ABSTRACT FROM AUTHOR]

Background: The effects of whitening toothpastes containing nanohydroxyapatite on the surfaces of restorative materials are not well known. This study evaluated the changes in surface roughness and color of coffee-stained restorative materials after brushing with nanohydroxyapatite and other whitening toothpastes. Methods: Disc-shaped specimens were formed using microhybrid, nanohybrid, and supra-nano-filled composite (n = 30) and stained with a coffee solution. A brushing simulation was applied with toothpastes containing nanohydroxyapatite (Dentiste Plus White), perlite (Signal White System) and hydrogen peroxide (Colgate Optic White) for 7, 15, and 30 days. Color and surface roughness measurements were taken before and after brushing. Color change (?E00) was calculated using the CIEDE2000 system. Results: Supra-nano-filled composite-Dentiste Plus White, supra-nano-filled composite-Colgate Optic White, and nanohybrid composite-Signal White System were the groups with the greatest color change observed on the 7th, 15th, and 30th days, respectively. The smallest color change was seen in the microhybrid composite-Signal White System, microhybrid composite-Dentiste Plus White, and nanohybrid composite-Dentiste Plus White groups on the 7th, 15th, and 30th days, respectively. No significant surface roughness changes were observed in the nanohybrid composite-Dentiste Plus White, supra-nano-filled composite-Colgate Optic White, supra-nano-filled composite-Dentiste Plus White, or supra-nano-filled composite-Signal White System groups. Conclusions: Whitening toothpaste containing nanohydroxyapatite provided a high degree of color change in the short term and did not create significant surface roughness in nanohybrid or supra-nano-filled composites. [ABSTRACT FROM AUTHOR]

In the present study, comparative analysis of glass ionomer and nanofillers in the performance of dental composite has been reviewed. In dental composite, a number of particulate fillers specifically nanoparticle are being tested and used. A new approach has been tried and investigated to replace expensive nanofillers with the other filler such as glass ionomer. There is a strong need to understand the scientific method, to conduct the clinical trial, and to perform the laboratory test to evaluate role of each parameter, constituent in the performance of dental composite. The present research reviewed the recent finding, possible opportunity and challenges for use of glass ionomer as replacement of nanofiller in dental composite. The existing literature on the favorable and non‐favorable side of glass ionomer is critically evaluated. The major aspect considered in the present review was to evaluate the surface roughness, mechanical properties and wear properties. The present article attempted to provide a state‐ of‐ the‐art analysis of fabrication method, surface treatment method and comparative analysis on role of particulate filler versus glass ionomer on the performance based on mechanical and wear testing mechanism. [ABSTRACT FROM AUTHOR]

Introduction: This study presents a new design of multilayered PMMA dental composite material combining electrospun continuous composite polyvinylpyrrolidone (PVP) nanofibers filled with zirconia (ZrO2) nanoparticles and two-component self-cure PMMA dental resin. The aim is to improve the mechanical properties of dental PMMA material via the large surface area of electrospun nanofibers, the toughening effect of PVP and ZrO2 nanofillers. Methods: First, PVP/ZrO2 composite nanofibers with different ZrO2 contents of 5%, 10% and 20% (wt. % of PVP) were prepared by electrospinning. Then, multilayered samples containing alternating PMMA resin and electrospun composite nanofiber mats with different ZrO2 contents were manufactured by lay-up process. Samples containing single and double layers of nanofiber mats were prepared and cured in a water bath dental acrylic curing device in order to prepare composites without any void. Results: FTIR and SEM results reveal that PVP enables good interfacial interactions and compatibility between the nanofibers and PMMA matrix. The mechanical properties are improved as an increase of the flexural strength up to 83% and 67% is observed for PMMA/PVP/ZrO2-10s and PMMA/PVP/ZrO2-20d samples, respectively. The presence of PVP nanofiber layers significantly improves the flexural toughness, especially for samples reinforced with a single layer of nanofibers where improvements up to 169% and 153% are observed for PMMA/PVP/ZrO2-5s and PMMA/PVP/ZrO2-10s composite samples respectively. The micro-hardness is also higher for composite samples compared to neat PMMA dental material. Conclusion: The overall results clearly depict a noticeable enhancement of the mechanical properties, especially the flexural toughness of PMMA dental material

Abstract Despite numerous published studies on the wear of dental composites, few have considered the influence of temperature on the two‐body wear process. Additionally, no previous work has considered the influence of temperature on dominant wear mechanisms during the consumption of hot substances, hence the focus of this study. Reciprocating wear tests were carried out at varying artificial saliva lubricant temperatures (37 and 57°C) and material loss was quantified using profilometry. The wear tracks were analysed using FIB/SEM/TEM. Results reveal that the wear rate of a dental composite can significantly increase with temperature, with fatigue/delamination and ploughing acting as dominant mechanisms.

Resin composites are widely used as dental restorative materials since dental parts are subjected to prolonged wear and ultimately need to be replaced. The objective of this study is to analyze the potential of the feed-forward back propagation artificial neural network (ANN) in assessing the wear of dental composite materials when immersed in chewable tobacco solution, by utilizing the in-vitro test results of the pin-on-disc tribometer [ASTM G99-04]. In this study, four different dental composite material specimens are dipped in a chewable tobacco solution for a few days, and the specimens are removed from the solution for conducting the wear test. Three different training procedures are used to simulate ANN models for predicting the wear of dental composite specimens. The Bayesian regularization training algorithm outperforms the other algorithms significantly. The findings of the ANN modeling were prominently matching with the results of the experiments; therefore, parametric analysis was used based on the model's predicted values. [ABSTRACT FROM AUTHOR]

Objectives: The aim was to investigate the two-body wear at the marginal area between direct filling composites and substrate of CAD/CAM composites or enamel. Materials and methods: Flat specimens were prepared from CAD/CAM composites (CERASMART 270 and SFRC CAD) and bovine enamel. A box-shaped cavity cut into CAD/CAM composites and enamel surfaces was made. The prepared cavity in CAD/CAM composites was treated with a primer, while in enamel, the cavity was treated with an adhesive. Three conventional composites (Universal Injectable, G-aenial A'Chord, and Filtek Bulk Fill) and one short fiber composite (everX Flow) were placed and cured in the prepared cavities. A two-body wear test was conducted with 15,000 chewing cycles using a dual-axis chewing simulator. The specimens (n = 5/per group) were positioned to produce wear (load = 20 N) across the marginal area between filling composites and substrates. The wear depth was analyzed using a 3D optical profilometer. SEM was used to evaluate the wear behavior and margins between the filling and substrate materials. Results: All composites used displayed different wear behavior (20–39 µm) (p < 0.05). The highest wear values were recorded for A'Chord and Filtek, while the lowest values were for Injectable and CERASMART 270. The data analysis showed that the wear behavior of substrate materials depends on the filling materials used at margins (p < 0.05). The marginal breakdown was seen only between bovine enamel and filling composites. Conclusions: The use of the two-body wear simulation method revealed important information about the behavior of the filling composites at the marginal area with CAD/CAM composites or bovine enamel substrates. Clinical relevance: The marginal breakdown related to the material combination at the bonding region. [ABSTRACT FROM AUTHOR]

Bitewing radiographic examination of the Class II composite restorations is commonly performed for diagnosis and preoperative planning of posterior teeth. The purpose of this study was to describe the prevalence; location; and characteristics of radiolucency findings associated with proximal class II composite restorations. Bitewing radiographs of proximal composite restorations of healthy adult patients (18 to 88 years old) who underwent restorative care at predoctoral clinics at the University of Maryland School of Dentistry from August 2016 to July 2019 were identified. Atypical radiographic features were categorized by location and associated material (adhesive or composite). In addition, demographic and clinical details (tooth position; restored surface) were recorded. Out of the 669 radiographically examined bitewings of restorations; 16.5% of radiographs showed no atypical findings; and 83.5% had unusual radiographic signs. The atypical radiographic findings were distributed as 16.5% internal voids; 3% overhang; 7.8% interlayer lines; 12.6% secondary caries; 20.7% interfacial gaps; and 23.1% multiple atypical findings. Class II composite restorations have a high prevalence of atypical radiolucency; particularly in the body of the composite; premolars; and disto-occlusal restorations. The information reported here emphasizes the clinical challenge of ascertaining an appropriate diagnosis of the radiolucencies underneath composite restorations. [ABSTRACT FROM AUTHOR]

This work aimed to synthesize a novel dimethacrylated-derivative of eugenol (Eg) (termed EgGAA) as potential biomaterial for certain applications such as dental fillings and adhesives. EgGAA was synthesized through a two-step reaction: (i) a mono methacrylated-eugenol (EgGMA) was produced via a ring-opening etherification of glycidyl methacrylate (GMA) with Eg; (ii) EgGMA was condensed with methacryloyl chloride into EgGAA. EgGAA was further incorporated in matrices containing BisGMA and TEGDMA (50:50 wt%) (TBEa), in which EgGAA replaced BisGMA as 0–100 wt% to get a series of unfilled resin composites (TBEa0–TBEa100), and by addition of reinforcing silica (66 wt%), a series of filled resins were also obtained (F-TBEa0–F-TBEa100). Synthesized monomers were analyzed for their structural, spectral, and thermal properties using FTIR, 1H- and 13C-NMR, mass spectrometry, TGA, and DSC. Composites rheological and DC were analyzed. The viscosity (η, Pa·s) of EgGAA (0.379) was 1533 times lower than BisGMA (581.0) and 125 times higher than TEGDMA (0.003). Rheology of unfilled resins (TBEa) indicated Newtonian fluids, with viscosity decreased from 0.164 Pa·s (TBEa0) to 0.010 Pa·s (TBEa100) when EgGAA totally replaced BisGMA. However, composites showed non-Newtonian and shear-thinning behavior, with complex viscosity (η*) being shear-independent at high angular frequencies (10–100 rad/s). The loss factor crossover points were at 45.6, 20.3, 20.4, and 25.6 rad/s, indicating a higher elastic portion for EgGAA-free composite. The DC was insignificantly decreased from 61.22% for the control to 59.85% and 59.50% for F-TBEa25 and F-TBEa50, respectively, while the difference became significant when EgGAA totally replaced BisGMA (F-TBEa100, DC = 52.54%). Accordingly, these properties could encourage further investigation of Eg-containing resin-based composite as filling materials in terms of their physicochemical, mechanical, and biological potentiality as dental material. [ABSTRACT FROM AUTHOR]

The goal of this study was to compare the mechanical properties of experimental resin dental composites containing a conventional photoinitiating system (camphorquinone CQ and 2-(dimethylami-no)ethyl methacrylate (DMAEMA)) to a photoinitiator system containing 1-phenyl-1,2 propanedione (PPD) with 2-(dimethylami-no)ethyl methacrylate) or acting alone phenylbis(2,4,6-trimethylbenzoyl)-phosphine oxide (BAPO). The manually produced composites consisted of an organic matrix: bis-GMA (60 wt. %), TEGDMA (40 wt. %), and silanized silica filler (45 wt. %). The composites contained 0.4/0.8 wt. %, 0.8/1.6 wt. %, and 1/2 wt. % of PPD/DMAEMA and another group included 0.25, 0.5, or 1 wt. % of BAPO. Vickers hardness, microhardness (in the nanoindentation test), diametral tensile strength, and flexural strength were assessed, and CIE L* a* b* colorimetric analysis was conducted for each composite produced. The highest average Vickers hardness values were obtained for the composite containing 1 wt. % BAPO (43.73 ± 3.52 HV). There was no statistical difference in the results of diametral tensile strength for the experimental composites tested. The results of 3-point bending tests were the highest for composites containing CQ (77.3 ± 8.84 MPa). Despite the higher hardness of experimental composites including PPD or BAPO, compared with composites with CQ, the overall results indicate that the composite with CQ still represents a better solution when used as a photoinitiator system. Moreover, the composites containing PPD and DMAEMA are not promising in terms of color or mechanical properties, especially as they require significantly longer irradiation times. [ABSTRACT FROM AUTHOR]

Background The effects of whitening toothpastes containing nanohydroxyapatite on the surfaces of restorative materials are not well known. This study evaluated the changes in surface roughness and color of coffee-stained restorative materials after brushing with nanohydroxyapatite and other whitening toothpastes. Methods Disc-shaped specimens were formed using microhybrid, nanohybrid, and supra-nano-filled composite (n = 30) and stained with a coffee solution. A brushing simulation was applied with toothpastes containing nanohydroxyapatite (Dentiste Plus White), perlite (Signal White System) and hydrogen peroxide (Colgate Optic White) for 7, 15, and 30 days. Color and surface roughness measurements were taken before and after brushing. Color change (∆E00) was calculated using the CIEDE2000 system. Results Supra-nano-filled composite-Dentiste Plus White, supra-nano-filled composite-Colgate Optic White, and nanohybrid composite-Signal White System were the groups with the greatest color change observed on the 7th, 15th, and 30th days, respectively. The smallest color change was seen in the microhybrid composite-Signal White System, microhybrid composite-Dentiste Plus White, and nanohybrid composite-Dentiste Plus White groups on the 7th, 15th, and 30th days, respectively. No significant surface roughness changes were observed in the nanohybrid composite-Dentiste Plus White, supra-nano-filled composite-Colgate Optic White, supra-nano-filled composite-Dentiste Plus White, or supra-nano-filled composite-Signal White System groups. Conclusions Whitening toothpaste containing nanohydroxyapatite provided a high degree of color change in the short term and did not create significant surface roughness in nanohybrid or supra-nano-filled composites.

The aim of this study is to comparatively investigate changes in mechanical properties by adding five different types of boron derivatives to a microhybrid dental composite structure. In this study, which evaluated upper and lower surface microhardness (VHN), roughness (Ra), and color stability (∆E), a total of 126 discs were used (n = 7; per each subgroup). All boron derivatives were added to the dental composite structure in equal proportions in a dark room to create experimental composites (5% w/w). To enable comparison, a default composite without the addition of any boron derivative served as the negative control group. Before measurements, all samples were incubated at 37 °C for 24 h. For surface microhardness, roughness, and color stability, all experimental groups were statistically significant within themselves (p < 0.001). The group with borax pentahydrate exhibited the highest VHN value on the upper surface, while the lowest value was observed in the group with etifert. It was found that all experimental groups showed a decrease in lower surface microhardness compared to the control group (p < 0.001). Although the eticol-ceramic-added group had the lowest roughness values, this group also exhibited significantly higher ∆E values compared to the other groups. Surface roughness showed a negative correlation with ∆E and upper surface microhardness values for all experimental groups (respectively p = 0.038; r = −0.185/p = 0.006; r = −0.245). To sum up, the addition of boron derivatives to composites, except for etifert, increased upper surface microhardness values; however, except for eticol-ceramic, surface roughness values also increased. Nevertheless, the addition of boron derivatives, except for eticol-ceramic, ensures color stabilization.

Resin-based dental composites (RBC) release cytotoxic components, however the extent of the elution from preheated RBCs is barely investigated. The aim was therefore to determine the cytotoxic effect of preheated conventional, bulk, and thermoviscous RBCs of clinically relevant sizes using different cell viability methods in a contact-free model. Samples (6 × 4 mm) were prepared from conventional [Estelite Sigma Quick (ESQ), Filtek Z250 (FZ)] and bulk-filled [Filtek One BulkFill Restorative (FOB), SDR Plus Bulk Flow (SDR), VisCalor Bulk (VCB)] RBCs. The pre-polymerization temperature was set to room temperature (RT) and 55/65 °C. Pulp cells were cultured, followed by a 2-day exposure to monomers released from solid RBC specimens suspended in the culture medium. Cytotoxicity was assessed using a WST-1, MTT, and LDH colorimetric viability assays. Data were analyzed using one-way ANOVA, Tukey’s post hoc test, multivariate analysis, and independent t-test. The effect size (ƞp2) of material and temperature factors was also assessed. All the RBCs demonstrated cytotoxic effect upon exposure to pulp cells, but to a varying extent (ESQ >> VCB > FZ = FOB = SDR). The effect of pre-polymerization temperature was insignificant (ƞp2 < 0.03), except for the thermoviscous RBC, which showed inconsistent findings when subjected to distinct viability tests. Cell viability was predominantly dependent on the type of material used (p < 0.001) which showed a large effect size (ƞp2 > 0.90). Irrespective of the pre-polymerization temperature, RBC samples in a clinically relevant size can release monomers to such an extent, which can substantially decrease the cytocompatibility.

Dental resin composites (DRCs) have gained immense popularity as filling material in direct dental restorations. They are highly valued for their ability to closely resemble natural teeth and withstand harsh oral conditions. To increase the clinical performance of dental restorations, various fillers are incorporated into DRCs. Herein, the effect of incorporating pre-polymerized triethylene glycol dimethacrylate (P-TEGDMA) as a co-filler in varying proportions (0%, 2.5%, 5%, and 10% by weight) into bisphenol A-glycidyl methacrylate (BisGMA)/TEGDMA/SiO2 resin composite was investigated. The obtained DRCs were examined for morphology, rheological properties, degree of crosslinking (DC), Vickers microhardness (VMH), thermal stability, and flexural strength (FS). The results revealed that SiO2 and P-TEGDMA particles were uniformly dispersed. The introduction of P-TEGDMA particles (2.5 wt.%) into the resin composite had a remarkable effect, leading to a significant reduction (p ≤ 0.05) in complex viscosity, decreasing from 393.84 ± 21.65 Pa.s to 152.84 ± 23.94 Pa.s. As a result, the DC was significantly (p ≤ 0.05) improved from 61.76 ± 3.80% to 68.77 ± 2.31%. In addition, the composite mixture demonstrated a higher storage modulus (G′) than loss modulus (G″), indicative of its predominantly elastic nature. Moreover, the thermal stability of the DRCs was improved with the addition of P-TEGDMA particles by increasing the degradation temperature from 410 °C to 440 °C. However, the VMH was negatively affected. The study suggests that P-TEGDMA particles have the potential to be used as co-fillers alongside other inorganic fillers, offering a means to fine-tune the properties of DRCs and optimize their clinical performance.

With the phase-out of amalgam and the increase in minimally invasive dentistry, there is a growing need for high-strength composite materials that can kill residual bacteria and promote tooth remineralization. This study quantifies how antibacterial polylysine (PLS) and re-mineralizing monocalcium phosphate monohydrate (MCPM) affect Streptococcus mutans biofilms and the strength of dental composites. For antibacterial studies, the MCPM-PLS filler percentages were 0-0, 8-4, 12-6, and 16-8 wt% of the composite filler phase. Composite discs were immersed in 0.1% sucrose-supplemented broth containing Streptococcus mutans (UA159) and incubated in an anaerobic chamber for 48 h. Surface biomass was determined by crystal violet (CV) staining. Growth medium pH was measured at 24 and 48 h. Biofilm bacterial viability (CFU), exo-polysaccharide (water-soluble glucan (WSG) and water-insoluble glucan (WIG)), and extracellular DNA (eDNA) were quantified. This was by serial dilution plate counting, phenol-sulfuric acid microassay, and fluorometry, respectively. The biaxial flexural strengths were determined after water immersion for 1 week, 1 month, and 1 year. The MCPM-PLS wt% were 8-4, 8-8, 16-4 and 16-8. The normalized biomass, WSG, and WIG showed a linear decline of 66%, 64%, and 55%, respectively, as the PLS level increased up to 8%. The surrounding media pH (4.6) was all similar. A decrease in bacterial numbers with the 12-6 formula and a significant reduction with 16-8 compared to the 0-0 formulation was observed. The eDNA concentrations in biofilms formed on 12-6 and 16-8 formulations were significantly less than the 0-0 control and 8-4 formulations. Doubling MCPM and PLS caused a 14 and 19% reduction in strength in 1 week, respectively. Average results were lower at 1 month and 1 year but affected less upon doubling MCPM and PLS levels. Moreover, a 4% PLS may help to reduce total biomass and glucan levels in biofilms on the above composites. Higher levels are required to reduce eDNA and provide bactericidal action, but these can decrease early strength.

ABSTRACT Introduction: Rice husk silica has been studied as a filler in dental composite, however, the mechanical properties of the resulting composites are below the commercial due to the poor surface modification between silica and resin matrix. 3-methacryloxyprpyltrimethoxysilane (MPTS) is one of the coupling agents that are effective to modify the silica surface. The purpose of this study to analyze the effect of MPTS on the diametral tensile strength (DTS) of the self-made composite using rice husk silica. Methods: The research type of this study was an experimental research laboratory. The samples (26 samples) were divided into two groups, namely the test group (using MPTS-modified silica) and the control group (using non-modified silica). The samples were cylindrical in shape with a diameter of 6.0 ± 0.1 mm and a height of 3.0 ± 0.1 mm according to ANSI/ADAS No. 27, 1993 and ISO 4049, 1988. The Fourier Transform Infrared (FTIR), HORIBA, was used to characterize the MPTS grafting on the silica surface. The DTS value is measured by Universal Testing Machine (UTM), Lloyd LRX Plus. Results: FTIR presents the additional peak of carboxyl and methacryloyl group at 1716, 1555, and 1410 cm-1 wavenumber, respectively in MPTS-modified silica. The DTS value of the test group was 43.40 ± 4.43 MPa and the control group was 25.80 ± 2.63 MPa. The test group was significantly higher than the control group (p-value = 0.001). Conclusion: The MPTS is effective to enhance the DTS value of rice husk silica-based composite. Keywords: Rice husk silica; dental composite; diametral tensile strength; 3-methacryloxypropyltrimethoxysilane.