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PURPOSE To evaluate the micro-shear bond strength (μSBS) of different bonding protocols to commercially pure titanium (CP Ti) using two universal adhesives and Alloy Primer. MATERIALS AND METHODS A total of 120 cubes of CP Ti were airborne-particle abraded and then divided into 6 groups (n = 20 each) according to bonding protocol: (1) Scotchbond Universal (SU; 3M ESPE), (2) Alloy Primer (AP; Kuraray) + SU; (3) G-Premio Bond (GP; GC); or (4) AP + GP. The specimens from groups 1 to 4 were cemented with RelyX Unicem (3M ESPE), while those from groups 5 and 6 were cemented using Panavia F2.0 cement (PAN; Kuraray) without and with prior AP application, respectively. After 24 hours, half the specimens were subjected to μSBS measurement and the other half to thermocycling (5,000 cycles) before testing. Data were analyzed using Shapiro-Wilk, two-way analysis of variance, Games-Howell, and independent sample t test (α = .05). RESULTS The μSBS values obtained from the AP + SU group were significantly higher than from the GP (P = .003) and the AP + GP (P = .022) groups. After thermocycling, the μSBS of both groups treated with SU were significantly higher than those other groups (P < .001). The application of AP could not improve adhesion of resin cements to CP Ti. Thermocycling significantly reduced the μSBS values of the PAN group, whereas it noticeably enhanced the adhesion of SU and AP + SU. The predominant failure mode in all groups was adhesive. CONCLUSION The application of AP, followed by SU, produced the most effective bonding to CP Ti, which was able to endure limited thermal aging.

Implant-retained auricular prostheses provide an excellent treatment option with better retention and stability than a conventionally retained prosthesis. This article presents a technique for auricular reconstruction for a patient with misplaced implants. The scanning process combined the use of an intraoral scanner and a facial scanner to enhance accuracy in space management for different parts of the auricular prosthesis and to reduce sculpting time.

Introduction: A dental impression is a negative imprint of an oral structure that can be used to produce a positive cast of a patient's teeth as a permanent record. The accuracy of the impression affects the accuracy of the cast, and a precise impression is needed in order to create prosthesis with optimal fitting. Minimization of misfit is an important aim in prosthesis science and dental implants. The aim of this study was to evaluate the effects of the materials and techniques used to take an impression on the vertical misfit of implant-supported, screw-retained, three-unit bridges. Materials and Methods: The principal model used was an acrylic block with two ITI implants. A 1.5-mm abutment was attached to fixtures with torque of 25 N.cm. A base-metal framework was built on the abutment in the acrylic block. The abutments of the acrylic model were unscrewed and fixture-level impressions were made. The impression techniques included open/closed-tray techniques and the impression materials were polyether and polyvinyl siloxane. Forty acrylic custom trays were built for each impression. The marginal gap in the framework at three points (buccal, lingual, and distal) was measured using an optical microscope with ×250. Results: It is demonstrated that in all 360 evaluated samples, the mean vertical misfit in polyether samples of molar and premolar teeth was significantly lower than in polyvinyl siloxane (P < 0.001 and P = 0.017, respectively) in all three locations of the molar and lingual premolar examined (buccal, lingual, and distal), the mean vertical misfit of the polyether samples was significantly lower than those of polyvinyl siloxane (P < 0.01). On the other hand, although the mean vertical misfit using the open-tray technique in the molar teeth was significantly lower than with the closed-tray method (P = 0.002), no statistical difference was seen between the open-tray and closed-tray technique in general (P = 0.87). Conclusion: Within the limitations of this study, the following conclusions can be drawn: The impression method had no effect on marginal discrepancy of 3-unit screw retained fixed partial dentures. A higher marginal accuracy was obtained using polyether impression material compared to polyvinyl siloxane.

Background The most appropriate luting agent for attaching the prefabricated Ti-based insert of hybrid abutments to its ceramic component has not yet been determined. This study was done aimed at examining the micro-shear bond strength (μSBS) of different cements to commercially pure titanium (Cp Ti). Material and Methods A total of 100 milled cubes of Cp Ti was airborne-particle abraded using 250 μm aluminum oxide particles. Specimens were then divided into 5 groups (n=20) according to the type of resin cement used: (1) Panavia F.2, (2) Rely X U200, (3) Panavia SA LUTING Plus, (4) GC Fuji I, and (5) GC FujiCEM 2. After 24h storage, half of the samples were subjected to 5000 cycles of thermal aging. Next, the bonded samples were tested in the micro-shear mode. Data (MPa) were analyzed using a two-way ANOVA and the post hoc Tukey test (α=0.05). After debonding, each sample was examined for the failure mode classification. Results The highest μSBS value in the study cements was obtained for Panavia F.2 cement (P

Aim There is limited and inconsistent information on some factors affecting visual shade selection. The aim of this study was to evaluate the influence of shade guide type and professional experience on shade-matching results. Materials and methods Thirty Dental students (DS), 30 General dentists (GDs) and 30 Dental specialists (S) participated in this study. The participants were asked to match six target tabs using two dental shade guides: Vitapan Classical (VC) and Vitapan 3D-Master (3D). An intraoral spectrophotometer was used for color measurement of target tabs and selected tabs. The color difference (Conflict of interest: NoneE) values between the target tab and selected tab were calculated. Data were analyzed using analysis of variance (ANOVA) and paired t-test (α = 0.05). Results of the first five best matches for each target tab were expressed as ΔE1 to ΔE5. Differences in the mean values of ΔE1 to ΔE5 between VC and 3D were compared using descriptive statistics. Results There were no significant differences among the three participating groups in ΔE values when the 3D was used (p = 0.389). However, significant differences were found with VC (p < 0.001). The ΔE values achieved from the 3D were significantly lower than those from VC for DS and S (p = 0.001 and p < 0.001, respectively). For each of the first five best matches, the mean ΔE values from the 3D were smaller than the corresponding values of VC. Conclusion The type of dental shade guide affected the shadematching results. The level of experience was not found to be an influential factor in shade matching when 3D-Master shade guide was used. Clinical significance Compared with Vitapan Classical shade guide, use of the Vitapan 3D-Master shade guide improves shade-matching results. How to cite this article Nakhaei M, Ghanbarzadeh J, Amirinejad S, Alavi S, Rajatihaghi H. The Influence of Dental Shade Guides and Experience on the Accuracy of Shade Matching. J Contemp Dent Pract 2016;17(1):22-26.

Objectives: To evaluate the effect of ozone and two common denture cleansers on the surface hardness and bond strength of a silicone-based soft liner to acrylic denture base material. Materials and Methods: Sixty cylindrical specimens were fabricated using heat-cured poly-methyl methacrylate denture base resin. Three millimeters of the material was ground from the midsection and filled with the soft liner. The resilient liner specimens (n=40) used for the hardness test were 10 mm in diameter and 5 mm in height. Cylindrical and disc-shaped samples were randomly divided into four groups (37°C distilled water, Corega® tablets, 0.5% sodium hypochlorite (NaOCl), and a home ozone generator). To simulate six months of denture cleansing clinically, samples were placed in their cleanser once a day for six months according to the manufacturer’s instructions. All cylindrical specimens were placed under tension until failure in a universal testing machine at a crosshead speed of 5 mm/minute. For disc-shaped samples, hardness was measured using a Shore-A durometer. The results were analyzed using Kruskal-Wallis test, analysis of variance (ANOVA), and Tukey's post hoc test. Results: The mean tensile bond strength was not significantly different among the studied groups (P>0.05). The mean hardness in the ozone and Corega tablet groups was significantly lower than that of the control and NaOCl groups (P

Purpose The aim of this study was to evaluate the effectiveness of silica-lasing method for improving the composite resin repair of metal ceramic restorations. Materials and Methods Sixty Ni-Cr cylindrical specimens were fabricated. The bonding surface of all specimens was airborne-particle abraded using 50 μm aluminum oxide particles. Specimens were divided into six groups that received the following surface treatments: group 1—airborne-particle abrasion alone (AA); group 2—Nd:YAG laser irradiation (LA); group 3—silica coating (Si-CO); group 4—silica-lasing (metal surface was coated with slurry of opaque porcelain and irradiated by Nd:YAG laser) (Si-LA); group 5—silica-lasing plus etching with HF acid (Si-LA-HF); group 6—CoJet sand lased (CJ-LA). Composite resin was applied on metal surfaces. Specimens were thermocycled and tested in shear mode in a universal testing machine. The shear bond strength values were analyzed using ANOVA and Tukey's tests (α = 0.05). The mode of failure was determined, and two specimens in each group were examined by scanning electron microscopy and wavelength dispersive X-ray spectroscopy. Results Si-CO showed significantly higher shear bond strength in comparison to other groups (p 0.05). The failure mode was 100% adhesive for AA, Si-LA, Si-LA-HF, and CJ-LA. LA and Si-CO groups showed 37.5% and 87.5% cohesive failure, respectively. Conclusion Silica coating of Ni-Cr alloy resulted in higher shear bond strength than those of other surface treatments.

Azamsadat Madani,1 Mohammadreza Nakhaei,2 Parisa Karami,3 Ghadir Rajabzadeh,4 Sahar Salehi,4,5 Hossein Bagheri6 1Dental Research Center, Department of Prosthodontics, Faculty of Dentistry, Mashhad University ofMedical Sciences, 2Dental Materials Research Center, Department of Prosthodontics, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, 3Department ofProsthodontics, Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan, 4Department of Nanotechnology, Research Institute of Food Science and Technology, Mashhad, 5Department of Material and Metallurgical Engineering, University of Semnan, Semnan, 6Dental Materials Research Center, Department of Operative Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran Abstract: The aim of this in vitro study was to evaluate the effect of silica and aluminosilicate nanocomposite coating of zirconia-based dental ceramic by a sol–gel dip-coating technique on the bond strength of veneering porcelain to the yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) in vitro. Thirty Y-TZP blocks (10 mm ×10 mm ×3 mm) were prepared and were assigned to four experimental groups (n=10/group): C, without any further surface treatment as the control group; S, sandblasted using 110 µm alumina powder; Si, silica sol dip coating+ calcination; and Si/Al, aluminosilicate sol dip coating + calcination. After preparing Y-TZP samples, a 3 mm thick layer of the recommended porcelain was fired on the coated Y-TZP surface. Fourier transform infrared spectroscopy (FT-IR), X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy-dispersive X-ray analysis were used to characterize the coating and the nature of the bonding between the coating and zirconia. To examine the zirconia–porcelain bond strength, a microtensile bond strength (µTBS) approach was chosen. FT-IR study showed the formation of silica and aluminosilicate materials. XRD pattern showed the formation of new phases consisting of Si, Al, and Zr in coated samples. SEM showed the formation of a uniform coating on Y-TZP samples. Maximum µTBS values were obtained in aluminosilicate samples, which were significantly increased compared to control and sandblasted groups (P=0.013 and P

Aim The aim of this study is to evaluate the effects of three different surface treatments and thermocycling on the tensile strength of a silicone lining material to denture resin. Materials and methods A total of 96 cube-shaped specimens were fabricated using heat-cured polymethyl methacrylate (PMMA) denture base resin. Three millimeters of the material was cut from the midsection. The specimens were divided into four groups. The bonding surfaces of the specimens in each group received one of the following surface treatments: no surface treatment (control group), airborne particle abrasion with 110 μm alumina particles (air abrasion group), Er:yttrium aluminum garnet laser irradiation (laser group), and air abrasion + laser. After the lining materials were processed between the two PMMA blocks, each group was divided into two subgroups (n = 12), either stored in distilled water at 37°C for 24 hours or thermocycled between 5 and 55°C for 5,000 cycles. The specimens were tested in tensile and shear strength in a universal testing machine. Data were analyzed with two-way analysis of variance and Tamhane's post hoc tests (α = 0.05). The mode of failure was determined, and one specimen in each group was examined by scanning electron microscopy. Results Surface-treated groups demonstrated significantly higher tensile strengths compared to the control group (p < 0.001). Nonetheless, no significant differences were found between surface-treated groups (p > 0.05). The tensile strength was significantly different between thermocycled and waterstored specimens (p = 0.021). Conclusion Altering the surface of the acrylic denture base resin with air abrasion, laser, and air abrasion + laser increased the tensile strength. Thermocycling resulted in decrease in bond strength of silicone-based liner to surface-treated acrylic resin. Clinical significance Pretreatment of denture base resins before applying the soft liner materials improves the bond strength. However, thermocycling results in decrease in bond strength of soft denture liner to surface-treated acrylic resin. How to cite this article Nakhaei M, Dashti H, Ahrari F, Vasigh S, Mushtaq S, Shetty RM. Effect of Different Surface Treatments and Thermocycling on Bond Strength of a Silicone-based Denture Liner to a Denture Base Resin. J Contemp Dent Pract 2016;17(2):154-159.

Up to now, there is no any experience about the application of dental lasers to bond resin composites to metal surfaces in dentistry. The aim of this preliminary study was to evaluate if the laser irradiation of ceramic-covered alloy surface would improve the bond strength of resin to metal, and if different parameters of laser output may influence the strength of this bond. Fifty three cylinders (thickness of 5 mm and diameter of 10 mm) were made up of a commercially available nickel-chromium alloy by lost-wax technique. Forty prepared specimens were divided into four groups. Five specimens in each group were covered by slurry of dental opaque porcelain and irradiated by Nd:YAG laser using different output parameters for each group. Other five specimens in each group were treated using the same laser parameters without porcelain covering. Five sandblasted specimen served as control group. Panavia F2.0 was bonded on the metal surfaces using polyethylene tubes. In ceramic-coated specimens, silane was applied to achieve chemical bond between silica particles and resin cement. All specimens were thermocycled and subjected to shear bond strength (SBS) test (50 kgf at 0.5 mm/min). Two specimens of each ceramic-coated laser-treated groups were studied using scanning electron microscopy and wavelength dispersive X-ray spectroscopy which showed stabilization of silica particles on the metal surface. ANOVA procedure showed that although shear bond strength was significantly higher in porcelain-covered laser treated samples, but the effect of power output of laser irradiation was not significant (P = 0.917). There were no statistically significant difference between SBS in control samples and laser treated specimens without porcelain covering. It can be concluded that Nd:YAG laser surface treatment may improve the silica coating of alloy surface to achieve better resin-metal bond.

Background: The final position of the abutment changes with the amount of tightening torque. This could eventually lead to loss of passivity and marginal misfit of prostheses. The aim of this study was to evaluate the effect of three different tightening torques on the marginal adaptation of 3-unit cement-retained implant-supported fixed dental prostheses (FDPs). Materials and Methods: Two implants (Straumann) were inserted in an acrylic block so that one of the implants was placed vertically and the other at a 15° vertical angle. A straight abutment and a 15° angulated abutment were connected to the vertically and obliquely installed implants, respectively, so that the two abutments were parallel. Then, 10 cement-retained FDPs were waxed and cast. Abutments were tightened with 10, 20, and 35 Ncm torques, respectively. Following each tightening torque, FDPs were luted on respective abutments with temporary cement. The marginal adaptation of the retainers was evaluated using stereomicroscope. FDPs were then removed from the abutments and were sectioned at the connector sites. The retainers were luted again on their respective abutments. Luting procedures and marginal adaptation measurement were repeated. Data were analyzed by ANOVA and least significant difference tests (α = 0.05). After cutting the FDP connectors, the independent samples t-test was used to compare misfit values (α = 0.05). Results: Following 10, 20, and 35 Ncm tightening torques, the marginal discrepancy of the retainers of FDPs significantly increased (P < 0.05). There was no significant difference between the marginal discrepancies of these two retainers (P > 0.05). The marginal gap values of angulated abutment retainers (ANRs) were significantly higher than those of the straight abutment after cutting the connectors (P = 0.026). Conclusion: Within the limitations of this study, the marginal misfit of cement-retained FDPs increased continuously when the tightening torque increased. After cutting the connectors, the marginal misfit of the ANRs was higher than those of the straight abutment retainers.

The aim of this study was to evaluate the effectiveness of silica-lasing method for improving the composite resin repair of metal ceramic restorations.Sixty Ni-Cr cylindrical specimens were fabricated. The bonding surface of all specimens was airborne-particle abraded using 50 μm aluminum oxide particles. Specimens were divided into six groups that received the following surface treatments: group 1-airborne-particle abrasion alone (AA); group 2-Nd:YAG laser irradiation (LA); group 3-silica coating (Si-CO); group 4-silica-lasing (metal surface was coated with slurry of opaque porcelain and irradiated by Nd:YAG laser) (Si-LA); group 5-silica-lasing plus etching with HF acid (Si-LA-HF); group 6-CoJet sand lased (CJ-LA). Composite resin was applied on metal surfaces. Specimens were thermocycled and tested in shear mode in a universal testing machine. The shear bond strength values were analyzed using ANOVA and Tukey's tests (α = 0.05). The mode of failure was determined, and two specimens in each group were examined by scanning electron microscopy and wavelength dispersive X-ray spectroscopy.Si-CO showed significantly higher shear bond strength in comparison to other groups (p0.001). The shear bond strength values of the LA group were significantly higher than those of the AA group (p0.05). No significant difference was found among lased groups (LA, Si-LA, Si-LA-HF, CJ-LA; p0.05). The failure mode was 100% adhesive for AA, Si-LA, Si-LA-HF, and CJ-LA. LA and Si-CO groups showed 37.5% and 87.5% cohesive failure, respectively.Silica coating of Ni-Cr alloy resulted in higher shear bond strength than those of other surface treatments.

Aim To evaluate the ability of dental students to match shades under three various light conditions. Materials and methods Sixty senior dental students participated in this study. All students were tested for color deficiency using Ishahara's tests. Nine classical vita shade tabs were randomly selected and their identification codes were concealed. The students were asked to match these 9 selected items by using a complete vita shade guide under three various light conditions (natural light, clinical light, and correcting light source). The chosen shade tabs were recorded and the correct matches were counted. Scores were calculated by adding the number of correct matches. Results The mean values of correct match scores with natural light, clinical light and correcting light source were 4.82, 4.75 and 6.82, respectively. There was no significant difference in correct matches scores between men and women, nor among various vita A, B, C and D shades. Conclusion The students showed a better performance in shade matching under the correcting light source than natural light and clinical light. Gender had no effect on shade matching selection and there was no difference in shade matching ability among vita A, B, C, D shades. Clinical significance Shade matching performance is significantly improved with correcting light source. How to cite this article Nakhaei M, Ghanbarzadeh J, Keyvanloo S, Alavi S, Jafarzadeh H. Shade Matching Performance of Dental Students with Three Various Lighting Conditions. J Contemp Dent Pract 2013;14(1):100-103.

Background: Color stability of acrylic resin is one of the most important feature for denture wearers. Many patients use detergent solutions to remove denture stains. The purpose of this study was to evaluate color stability and surface roughness of two common acrylic resins in different detergent and tea solutions. Materials and Methods: 112 acrylic resin blocks of Meliodent and Acropars (each 56 blocks) were divided into seven groups of different treatment: 1% sodium hypochlorite for 10 min a day for 1 month (H10m), 1% sodium hypochlorite for 8 hours a day for 1 week (H&h), Correga tabs solution for 8 hours a day for 1 month (C&H), tea bag for 2 hours a day for 1 month (T2 h), tea bag for 2 hours a day then 10 min in 1% sodium hypochlorite for 1 month (T-H), tea bag for 2 hours then 8 hours in the Correga tab solution a day for 1 month (T-C), and finally distilled water for 1 month as a control group (con). After specimen′s treatment, color (CIE Lab) and surface roughness (Ra, µm) of samples were measured. The results were analyzed by analysis of variance (ANOVA), followed by Tukey′s HSD and Dunnett T3. Results: Group T2h exhibited a significant (P