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Dental caries is the most widespread form of disease, affecting over 90% of the global population. Amalgam fillings, which have been in use for nearly two centuries, will face an European Union ban by 2025. Although photocomposite fillings are a suitable alternative, health concerns persist because of potential substance release into the oral cavity. This study aimed to evaluate the release of photoinitiator substances and monomers from dental materials into various solvents at different temperatures over 30 days. Cylindrical specimens of the composite resins were submerged in different extraction solutions and incubated at 37 and 50°C. The findings demonstrated that both the extraction solvent and extraction temperature significantly influenced the quantity of leachables (p < 0.05). Furthermore, most leachables were released within the initial days, although some monomers continued to elute for over 30 days. The estimated daily intake was calculated for the worst‐case scenario, confirming the biocompatibility of the composite fillings. The weight loss of dental materials ranged up to 3.5% after 30 days, regardless of the extraction conditions and dental material (p > 0.05). In conclusion, this study contributes to filling several research gaps in the field by addressing the biocompatibility of various dental materials through quantitative and qualitative analyses supported by statistical evaluation. [ABSTRACT FROM AUTHOR]

This article explores the properties of composite materials employed in dental fillings. A traditional nano-hybrid composite containing nanofiller particles exceeding 82% by weight served as a benchmark. The remaining samples were fabricated from ormocer resin, maintaining an identical nanofiller content of 84%. In all specimens, the nanoparticles were dispersed randomly within the matrix. This study presents findings from investigations into surface geometry, hardness, wettability, and tribological behavior. The microscopic observations revealed that ormocer-based samples exhibited greater surface roughness than those composed of the traditional composite. Hardness testing indicated that both ceramic addition and sample preparation significantly influenced mechanical properties. Ceramic-enhanced samples demonstrated superior hardness, surpassing the reference composite by 30% and 43%, respectively. Contact angle measurements revealed hydrophilic characteristics in the classic composite, contrasting with the hydrophobic nature of ceramic-containing samples. Tribological evaluations revealed the superiority of the classic composite in terms of friction coefficients and volumetric wear compared to ormocer-based materials. [ABSTRACT FROM AUTHOR]

Background: This study looks at the clinical applications of nanotechnology in dentistry, with an emphasis on implantology, preventive care, orthodontics, restorative dentistry, and endodontics. Methods: Following PRISMA criteria and registered in PROSPERO (ID: CRD 564245), a PubMed, Scopus, and Web of Science search was conducted for studies from January 2014 to April 2024. The criteria were English-language research on nanotechnology in dental coatings, with a focus on clinical trials and observational studies. The electronic database search yielded 8881 publications. Following the screening process, 17 records were selected for qualitative analysis. Results: Nanotechnology has revolutionized dentistry. In orthodontics, nanoparticles improve antibacterial characteristics, durability, and biocompatibility, lowering bacterial colonization and plaque. In preventative care, Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) combined with stannous fluoride (SnF2) and nano-sized sodium trimetaphosphate (TMPnano) substantially remineralizes enamel. Nanostructured surfaces in dental implants, particularly those containing calcium, improve osseointegration and stability. Nanoparticles in restorative dentistry improve composite and adhesive strength, aesthetics, and longevity. Conclusions: Nanotechnology improves dental materials and equipment, resulting in better treatment outcomes and increased patient comfort. Its integration provides more effective treatments, which improves dental care and patient outcomes. More research is needed to overcome present problems and expand nanotechnology's medicinal applications. [ABSTRACT FROM AUTHOR]

Abstract A 3-D printing method to produce dental prostheses of complex shapes from a commercial, photocurable resin-ceramic slurry is developed and optimized. The microstructure, mechanical properties and wear behavior of the resulting material are evaluated and compared with a conventional/control sample and other ceramic-polymer dental composites. Commercial resin-ceramic dental slurries can be successfully extruded and appropriately photocured in a low cost 3-D printing system to produce cost-efficient complex dental parts that could be used in indirect restorations. The printing process does not appreciably introduce defects in the material and the 3-D printed composites exhibit mechanical properties (hardness, elastic modulus) and wear resistance comparable to the control material and analogous, conventional dental composites. The main wear mechanisms under sliding contact against a hard antagonist are plastic deformation at the asperity level and ceramic particle pull-out due to filler/matrix interfacial weakness. Graphical Abstract 3-D printing commercial resin-filler slurries creates cost-efficient tooth prostheses with properties akin to conventional dental composites

Introduction: Wet oral environment may have deleterious effects on performance of the composites due to influences of water sorption and solubility. The study evaluated the hydrolytic degradation caused because of water sorption and solubility of silorane and methacrylate-based dental composites. Methods: Ten disc samples (2 mm × 10 mm) were prepared. Samples were analyzed for water solubility and sorption according to ISO 4049:2000 regulations and tested for mass gain or loss following immersion in water or in artificial saliva at 1 day, 15 days, and 30 days period. Student’s ‘t’ test, repeated measures analysis of variance (ANOVA), and Tukey’s post-hoc tests determined statistical significance of the experimental results with global significance set at P = 0.05. Results: Considerable sorption and solubility was observed with time in both materials on immersion. Silorane composites showed lower water sorption and solubility than methacrylate-based composite (MBC). Artificial saliva demonstrated higher sorption and solubility compared to distilled water. Conclusion: Silorane composites display enhanced hydrolytic stability even after a month of immersion in contrast to conventional methacrylate-based composites (MBCs), making it a better alternative to MBC resins clinically.

In clinical applications, resin‐based dental composites primarily face challenges with fractures and secondary caries. To overcome these issues, the physical characteristics of dental composites, especially mechanical properties, need to be improved. Hydroxyapatite (HA), present in the structure of the teeth, is preferred due to its biological properties, and zirconia (ZrO2) nanoparticles are known to enhance the mechanical properties of this type of composites. The aim of this study is to develop resin‐based dental composites containing HA and ZrO2 nanoparticles. The study also aims to explore the synergistic effect of these two nanoparticles on the physical properties of the developed composites. Composites with nine different compositions were prepared by mixing the components with the help of a mortar mill. The flexural and compressive strength, polymerization shrinkage, depth of cure and water sorption, and solubility properties of the prepared composites have been investigated. All composites have been found to meet the requirements of ISO 4049 standard. Among them, composite containing 5 wt. % HA and 1 wt. % ZrO2 (H5Z1) has exhibited the highest flexural strength with an increase of 58% compared to the control sample, and composite containing 3 wt. % HA and 2 wt. % ZrO2 (H3Z2) has exhibited the highest compressive strength with an increase of 22% compared to the control sample. Other physical properties of the composites have been found to be in an acceptable level. Highlights: Dental composites with HA and ZrO2 fillers were developed by a mortar mill.Synergistic effect of HA and ZrO2 nanoparticles was investigated.Mechanical properties of dental composites were significantly improved.Physical properties of dental composites were found to be at acceptable levels.Depth of cure decreases with increasing HA and ZrO2 loading. [ABSTRACT FROM AUTHOR]

The commonly used base monomer utilized in resinous commercial dental restorative products is bis-GMA which is derived from bisphenol-A (BPA) - a well-known compound which may disrupt endocrine functions. To address concerns about its leaching into the oral environment and to optimize the quality of dental composites, a BPA-free alternative base monomer, fluorinated urethane dimethacrylate (FUDMA), was designed by modifying a UDMA monomer system. Nine groups of composites were prepared by mixing the base monomers and TEGDMA in a ratio of 70/30 wt% to which were added silanized glass particles (mean diameter: 0.7 µm) in 3 different volume fractions (40, 45, and 50 vol%). Bis-GMA and UDMA base monomers were used as control groups in the same ratios. Various properties including degree of conversion (DC), flexural strength (FS) and flexural modulus (FM), water sorption (WS), solubility (SL), surface hardness and roughness, and initial adhesion property against S.mutans were investigated. One-way analysis of variance followed by Bonferroni test at α = 0.05 was used to analyze the results. A significant difference in FS between FUDMA-based composite with 40 vol% filler (120.3 ± 10.4 MPa) and Bis-GMA-based composite with the same filler fraction (105.8 ± 10.0 MPa) was observed but there was no significant difference among other groups. The UDMA based group exhibited the highest WS (1.3 ± 0.3 %). Bis-GMA showed greater initial bacterial adhesion but was not statistically different from the other groups (p = 0.082). FUDMA-based resin composites exhibit comparable mechanical and bacterial adhesion properties compared with Bis-GMA and UDMA-based composites. The FUDMA composites show positive outcomes indicating they could be used as substitute composites to Bis-GMA-based composites. [Display omitted] • FUDMA composites have the potential to serve as viable substitutes for Bis-GMA-based composites in dental applications. • Substituting Bis-GMA with FUDMA significantly improved mechanical properties. • FUDMA composite reduces bacterial attachment compared to the Bis-GMA composite control group. [ABSTRACT FROM AUTHOR]

In recent years, hydroxyapatite, as a ceramic material, has been a subject of growing interest due to its optimal biological properties, which are useful especially in medical and dental applications. It has been increasingly used in dentistry as a filler in composites. Nevertheless, research has shown a deterioration of their mechanical properties. The aim of this study was to investigate the influence of the content of hydroxyapatite together with fluorine and silver on the mechanical properties of a hybrid composite used in conservative dentistry. The authors compared specimens of commercial hybrid composite with specimens of experimental hybrid composite containing 2 wt% and 5 wt% of hydroxyapatite powder with fluorine and silver. The composite specimens were subjected to hardness and impact strength measurements, as well as bending, compression, and tribological wear tests. The research results indicate that the mechanical properties of composites are influenced by the type and amount of filler used. Composite containing 2 wt% of hydroxyapatite powder along with calcium fluoride and silver provided acceptable results. [ABSTRACT FROM AUTHOR]

This study evaluates the wear resistance of dental paste-like bulk-fill composites compared to conventional paste-like composite resins using an intraoral scanner and 3-D analyzing software. Six different dental composite materials, including five bulk-fill composites and one conventional composite, were tested alongside natural human enamel as a control group. A computer-controlled chewing simulator for wear testing. A one-way ANOVA test was used to identify any significant differences between the means of the tested dental composite materials α=0.05. The results showed variability among bulk-fill composites, with some demonstrating wear resistance similar to conventional composites (p<0.05). Human enamel displayed the lowest wear values, but some bulk-fill composites matched this resistance(p>0.05). Significant variability was observed among bulk-fill composites but the results were comparable to those of conventional composites. The enamel control group demonstrated the lowest wear values, with some bulk-fill composites showing similar wear resistance. This study provides valuable information about the wear resistance of contemporary bulk-fill composite materials, commonly used in current clinical practice, contributing to enhancing clinical procedures. [ABSTRACT FROM AUTHOR]

This article explores the properties of composite materials employed in dental fillings. A traditional nano-hybrid composite containing nanofiller particles exceeding 82% by weight served as a benchmark. The remaining samples were fabricated from ormocer resin, maintaining an identical nanofiller content of 84%. In all specimens, the nanoparticles were dispersed randomly within the matrix. This study presents findings from investigations into surface geometry, hardness, wettability, and tribological behavior. The microscopic observations revealed that ormocer-based samples exhibited greater surface roughness than those composed of the traditional composite. Hardness testing indicated that both ceramic addition and sample preparation significantly influenced mechanical properties. Ceramic-enhanced samples demonstrated superior hardness, surpassing the reference composite by 30% and 43%, respectively. Contact angle measurements revealed hydrophilic characteristics in the classic composite, contrasting with the hydrophobic nature of ceramic-containing samples. Tribological evaluations revealed the superiority of the classic composite in terms of friction coefficients and volumetric wear compared to ormocer-based materials.

Dental caries and dental restorations possess a long history and over the years, many materials and methods have been invented. In recent decades, modern techniques and materials have brought complexity to this issue, which has created the necessity to investigate more and more to achieve durability, consistency, proper mechanical properties, efficiency, beauty, good colour, and reduced costs and time. Combined with the recent advances in the medical field, mechanical engineering plays a significant role in this topic. This work aims at studying the elasto-static response of a human molar tooth as a case study, respecting the integral property of the tooth and different composite materials of the dental restoration. The structural integrity of the case study will be assessed through advanced numerical modelling resorting to meshless methods within the stress analysis on the molar tooth under different loading conditions. In this regard, bruxism is considered as being one of the most important cases that cause damage and fracture in a human tooth. The obtained meshless methods results are compared to the finite element method (FEM) solution. The advantages and disadvantages of the analysed materials are identified, which could be used by the producers of the studied materials to improve their quality. On the other hand, a computational framework, as the one presented here, would assist the clinical practice and treatment decision (in accordance with each patient's characteristics). [ABSTRACT FROM AUTHOR]

The surface characteristics of the restorative material are essential to its longevity. Since resin composites are polymeric-based materials, they could be degraded when exposed to oral conditions and chemical treatment. Certain chemical solutions, such as fluoride varnish, have the potential to deteriorate the resin composite's surface properties such as gloss and hardness. The current study aimed to assess and compare the surface gloss and hardness of different types of dental resin composites (nanohybrid, ormocer, bulk-fill flowable direct composites, and indirect CAD/CAM resin composite blocks (BreCAM.HIPC)) after a single application of Bifluorid 10 varnish. A total of 80 disc-shaped resin composite specimens were evenly distributed in four groups of 20 specimens. These were divided into two equal subgroups of specimens with topical fluoride (TF) application (n = 10) and without TF application (n = 10). The specimens were examined for surface gloss and hardness. Independent sample t-test was used to investigate statistically the effect of TF on the gloss as well as the hardness of each material. One-way ANOVA and post hoc tests were used to assess the difference in gloss and hardness among the materials without and with TF application. The significance level was adjusted to p ≤ 0.05. The results of gloss showed that the TF application led to a significant reduction in gloss values of all tested composites. The gloss among the various materials was significantly different. The TF had no significant effect on the hardness of nanohybrid, bulk-fill flowable, and BreCAM.HIPC composites (p = 0.8, 0.6, and 0.3, respectively). On the other hand, the hardness of ormocer was significantly reduced after TF application. Comparing the different resin composite materials, the hardness significantly differed. This study concluded that surface gloss and hardness seem to be impacted by the type and composition of the resin composites and vary depending on fluoride application. [ABSTRACT FROM AUTHOR]

Silicon carbide fibers have superior flexural properties and chemical stability compared to glass fibers. We investigated the flexural strength and modulus of an experimental, short silicon carbide fiber-reinforced resin. Short silicon carbide fibers with lengths of ~0.5, 1, 2, and 3 mm were prepared and silanized. Urethane dimethacrylate and triethylene glycol dimethacrylate were mixed at a 70:30 wt% ratio and used as the matrix resins. Each length of short silicon carbide fibers and the matrix resin were combined using a mixing machine and then used for specimen preparation. The three-point bending test conditions were in accordance with ISO 4049:2009. The fracture surfaces of the specimens after the three-point bending test were observed using secondary electron images. The data were statistically analyzed with a one-way analysis of variance and Tukey's HSD test (α = 0.05). The flexural strength and modulus of the specimens containing 2 mm or 3 mm silicon carbide fibers were significantly higher than the other specimens. The river pattern was observed more clearly in specimens containing shorter silicon carbide fibers, although this pattern was observed in all specimens. [ABSTRACT FROM AUTHOR]

Introduction: Wet oral environment may have deleterious effects on performance of the composites due to influences of water sorption and solubility. The study evaluated the hydrolytic degradation caused because of water sorption and solubility of silorane and methacrylate-based dental composites. Methods: Ten disc samples (2 mm × 10 mm) were prepared. Samples were analyzed for water solubility and sorption according to ISO 4049:2000 regulations and tested for mass gain or loss following immersion in water or in artificial saliva at 1 day, 15 days, and 30 days period. Student's 't' test, repeated measures analysis of variance (ANOVA), and Tukey's post-hoc tests determined statistical significance of the experimental results with global significance set at P = 0.05. Results: Considerable sorption and solubility was observed with time in both materials on immersion. Silorane composites showed lower water sorption and solubility than methacrylate-based composite (MBC). Artificial saliva demonstrated higher sorption and solubility compared to distilled water. Conclusion: Silorane composites display enhanced hydrolytic stability even after a month of immersion in contrast to conventional methacrylate-based composites (MBCs), making it a better alternative to MBC resins clinically. [ABSTRACT FROM AUTHOR]

After a brief review of current restorative materials and classifications, this article discusses the latest developments in polymer-based direct filling materials, with emphasis on products and studies available in the last 10 years. This will include the more recent bulk-fill composites and self-adhesive materials, for which clinical evidence of success, albeit somewhat limited, is already available. The article will also introduce the latest cutting edge research topics on new materials for composite restorations, and an outlook for the future of how those may help improve the service-life of dental composite restorations. [ABSTRACT FROM AUTHOR]

The aim of this study was to improve the self-healing properties of dental nanocomposite using nanoparticles of TiO2 and chitosan. We evaluated flexural and compressive strength, crack-healing, and self-healing lifespan after 3 months of water aging. The effect of the developed composite on cell viability and toxicity was assessed by an MTT assay on human alveolar basal epithelial cells (A549 cell line). The nanocomposite included 7.5 wt% polyurea-formaldehyde (PUF) and 0, 0.5, and 1 wt% n-TiO2 and chitosan. After the fracture, the samples were put in a mold for 1–90 days to enable healing. Then, the fracture toughness of the healed nanocomposites and the healing yield were measured. The flexural strength of the nanocomposite improved by adding 0.5 wt% n-TiO2, while the compressive strength increased after adding 0.5 wt% chitosan (p > 0.1). When these two materials were used simultaneously, the flexural strength was improved by around 2%; however, the compressive strength was unaffected. Compared to the other sample, the nanocomposite with 0.5 wt% n-TiO2 and chitosan had higher KIC-healing and self-healing efficiency. Self-healing efficacy had no significant effect of water aging over 90 days compared to one day (p > 0.1), demonstrating that the PUF nanocapsules were not damaged.

In recent years, hydroxyapatite, as a ceramic material, has been a subject of growing interest due to its optimal biological properties, which are useful especially in medical and dental applications. It has been increasingly used in dentistry as a filler in composites. Nevertheless, research has shown a deterioration of their mechanical properties. The aim of this study was to investigate the influence of the content of hydroxyapatite together with fluorine and silver on the mechanical properties of a hybrid composite used in conservative dentistry. The authors compared specimens of commercial hybrid composite with specimens of experimental hybrid composite containing 2 wt% and 5 wt% of hydroxyapatite powder with fluorine and silver. The composite specimens were subjected to hardness and impact strength measurements, as well as bending, compression, and tribological wear tests. The research results indicate that the mechanical properties of composites are influenced by the type and amount of filler used. Composite containing 2 wt% of hydroxyapatite powder along with calcium fluoride and silver provided acceptable results.

Different kinds of interactions between the restorative material and mineralized dental tissues result in secondary caries around dental composites. Of these, the mechanical interactions have to be carefully investigated. Due to the elastic mismatch between dental tissues and the composite restoration, complex stresses and strains develop at their interface. This complex mechanical environment disturbs the demineralization-remineralization equilibrium of dental hard tissues. The fluid flow both over and within enamel and dentin, associated with their complex ultrastructure and mechanical behavior, is a key factor. It is known that external mechanical loading can indirectly promote the dissolution of enamel and dentin through a pumping action of cariogenic fluids in and out of microgaps at the interface between mineralized tissues and composite. Mechanical loading can also directly influence the physicochemical behavior of dental hard tissues by inducing complex strain and stress fields on the crystal scale. It is important to consider both the direct and indirect paths by which mechanical loading can influence the apatite dissolution kinetics. Therefore, a systematic approach should be used to investigate the mechanism of secondary caries formation considering the tooth-composite interface as a unique complex in which each element has an influence on the other. [ABSTRACT FROM AUTHOR]

A new eugenyl dimethacrylated monomer (symbolled BisMEP) has recently been synthesized. It showed promising viscosity and polymerizability as resin for dental composite. As a new monomer, BisMEP must be assessed further; thus, various physical, chemical, and mechanical properties have to be investigated. In this work, the aim was to investigate the potential use of BisMEP in place of the BisGMA matrix of resin-based composites (RBCs), totally or partially. Therefore, a list of model composites (CEa0, CEa25, CEa50, and CEa100) were prepared, which made up of 66 wt% synthesized silica fillers and 34 wt% organic matrices (BisGMA and TEGDMA; 1:1 wt/wt), while the novel BisMEP monomer has replaced the BisGMA content as 0.0, 25, 50, and 100 wt%, respectively. The RBCs were analyzed for their degree of conversion (DC)-based depth of cure at 1 and 2 mm thickness (DC1 and DC2), Vickers hardness (HV), water uptake (WSP), and water solubility (WSL) properties. Data were statistically analyzed using IBM SPSS v21, and the significance level was taken as p < 0.05. The results revealed no significant differences (p > 0.05) in the DC at 1 and 2 mm depth for the same composite. No significant differences in the DC between CEa0, CEa25, and CEa50; however, the difference becomes substantial (p < 0.05) with CEa100, suggesting possible incorporation of BisMEP at low dosage. Furthermore, DC1 for CEa0–CEa50 and DC2 for CEa0–CEa25 were found to be above the proposed minimum limit DC of 55%. Statistical analysis of the HV data showed no significant difference between CEa0, CEa25, and CEa50, while the difference became statistically significant after totally replacing BisGMA with BisMEP (CEa100). Notably, no significant differences in the WSP of various composites were detected. Likewise, WSL tests revealed no significant differences between such composites. These results suggest the possible usage of BisMEP in a mixture with BisGMA with no significant adverse effect on the DC, HV, WSP, and degradation (WSL). [ABSTRACT FROM AUTHOR]

The durability of dental materials, when used in the mouth, is determined by their mechanical qualities. Composite resins are frequently used in dental restorations. Flexural tests and Vickers micro‐hardness tests on selected dental composite materials were performed in a universal testing machine (ASTM D790‐10 standard) and Vickers micro‐hardness tester (ASTM E384‐11e1standard). In this study, four different dental composite material samples are employed. The samples are dipped in a chewing tobacco solution for a few days before being removed and put through the tests. Also in this work, four different machine learning models were tested to see how well they could analyze the mechanical characteristics of dental composite materials when submerged in a chewing tobacco solution. For predicting the mechanical properties of dental composite specimens, four distinct machine‐learning models (extreme gradient boosting (XGBoost), adaptive boosting (AdaBoost), random forest, and k‐nearest neighbors (KNN) have been selected. AdaBoost machine learning model yields a coefficient of regression value of 0.9903 in predicting the flexural strength, whereas the XGBoost model gives a coefficient of regression value of 0.9890 in predicting the Vickers hardness distinctly better than the other models. [ABSTRACT FROM AUTHOR]

The potential of glass ceramics as applicable materials in various fields including fillers for dental restorations is our guide to present a new procedure for improvements of the mechanical properties of dental composites. This work aims to use Zn2SiO4 and SiO2–ZnO nano-materials as fillers to improve the mechanical properties of Bis-GMA/TEGDMA mixed dental resins. Zn2SiO4 and SiO2–ZnO samples were prepared and characterized by using XRD, FE-SEM, EDX, and FT-IR techniques. The XRD pattern of the SiO2–ZnO sample shows that ZnO crystallized in a hexagonal phase, while the SiO2 phase was amorphous. Similarly, the Zn2SiO4 sample crystallized in a rhombohedral crystal system. The prepared samples were used as fillers for the improvement of the mechanical properties of Bis-GMA/TEGDMA mixed dental resins. Five samples of dental composites composed of Bis-GMA/TEGDMA mixed resins were filled with 2, 5, 8, 10, and 15 wt% of SiO2–ZnO, and similarly, five samples were filled with Zn2SiO4 samples (2, 5, 8, 10, and 15 wt%). All of the 10 samples (A1–A10) were characterized by using different techniques including FT-IR, FE-SEM, EDX, and TGA analyses. According to the TGA analysis, all samples were thermally stable up to 200 °C, and the thermal stability increased with the filler percent. Next, the mechanical properties of the samples including the flexural strength (FS), flexural modulus (FM), diameter tensile strength (DTS), and compressive strength (CS) were investigated. The obtained results revealed that the samples filled with 8 wt% of SiO2–ZnO and 10 wt% of Zn2SiO4 had higher FS values of 123.4 and 136.6 MPa, respectively. Moreover, 8 wt% of both fillers displayed higher values of the FM, DTS, and CS parameters. These values were 8.6 GPa, 34.2 MPa, and 183.8 MPa for SiO2–ZnO and 11.3 GPa, 41.2 MPa, and 190.5 MPa for the Zn2SiO4 filler. Inexpensive silica-based materials enhance polymeric mechanics. Silica–metal oxide nanocomposites improve dental composite properties effectively. [ABSTRACT FROM AUTHOR]

Dental composites, through their structural diversity, represent the biomaterials frequently used in dental reconstructive therapy. The aim of our study was to observe the influence of different beverage environment conditions on seven types of obturation dental materials with different compositions. Our research focused on the surface modification analysis of the materials after the immersion in the different beverages; in this regard, we used the EDAX technique correlated with the energy-dispersive X-ray fluorescence (XRF). The pH of the drinks and that of the simulated saliva solution were determined by the titrimetric method, a sodium hydroxide solution 0.1 mol/dm3 was prepared and used for the titration. An amount of 5 mL of each analyzed solution was added to 15 mL of distilled water to obtain a dilution, to which 3 drops of phenolphthalein (as a color indicator—Phenolphthalein, 3,3-Bis(4-hydroxyphenyl)-1(3H)-isobenzofuranone, C20H14O4 Mw: 318.32, purchased from Merck) were added for each analysis. For each solution, the experiment was repeated three times in order to obtain accurate results. The results of our study materialized into a real plea for modifying the patients' behavior in terms of diet and preferences for acidic drinks, so that their quality-of-life valence can be improved by keeping the composite materials in a long-term unalterable state on the one hand; on the other hand, systemic damage can be prevented as well. [ABSTRACT FROM AUTHOR]

The composite consisting of bis-GMA/UDMA/HEMA/TEGDMA monomer mixture forming apolymer matrix filled with silanized silica (45 wt%) was modified with CTAB or DODAB quaternary ammonium salts (0.5‒2.0 wt%). The hardness, flexural strength as well as diametrical tensile strength of the composite before and after modification were evaluated. The type and amount of salt affected the hardness, flexural strength, and shrinkage stress; however, they did not influence the diametral tensile strength of the tested composites.

There is currently a lack of scientific reports on the use of composites based on UDMA resin containing HAp in conservative dentistry. The aim of this study was therefore to determine the effect of hydroxyapatite content on the properties of a hybrid composite used in conservative dentistry. This paper compares a commercial hybrid composite with experimental composites treated with 2% by weight (b/w), 5% b/w, and 8% b/w hydroxyapatite. The composites were subjected to bending strength, compression, and diametrical compression tests, as well as those for impact strength, hardness, and tribological wear. The obtained results were subjected to statistical analysis. Increased hydroxyapatite was found to weaken the mechanical properties; however, 2% b/w and 5% b/w hydroxyapatite powder was found to achieve acceptable results. The statistical analysis showed no significant differences. HAp is an effective treatment for composites when applied at a low concentration. Further research is needed to identify an appropriate size of HAp particles that can be introduced into a composite to adequately activate the surface and modification its composition. [ABSTRACT FROM AUTHOR]

The main objective of the present study was to evaluate the effect of the morphology of titanium dioxide nanofillers on the flexural strength and shear bond strength of the dental composite. Spherical and rhombic-shaped nano titanium dioxide fillers were synthesized via solvothermal method and were characterized. Subsequently, these fillers were incorporated into a flowable composite (Filtek™ Z350 XT Flowable Restorative) at 0.5 wt.% and 1.5 wt.% and the prepared specimens were stored in water for 24 h. The specimens were then evaluated for flexural strength using a universal testing machine. Similarly, the shear bond strength of modified composites to the tooth was evaluated and bond failures were analyzed using stereomicroscope magnification. Incorporation of nanofillers significantly enhanced the flexural strength of flowable composite (p = 0.009) with a significant increase at 0.5wt.% of spherical (p = 0.015) and rhomboidal-shaped fillers (p = 0.010). However, no statistically significant difference in flexural strength was observed among the different shapes of nanofillers. The results of our study did not show a significant effect on the shear bond strength of the composites. Thus the reinforcing ability of titanium dioxide nanofillers on dental composite was confirmed in this study, although the effect of using nanofillers with different morphology was not significant. [ABSTRACT FROM AUTHOR]

Resin composite mimics tooth tissues both in structure and properties, and thus, they can withstand high biting force and the harsh environmental conditions of the mouth. Various inorganic nano- and micro-fillers are commonly used to enhance these composites' properties. In this study, we adopted a novel approach by using pre-polymerized bisphenol A-glycidyl methacrylate (BisGMA) ground particles (XL-BisGMA) as fillers in a BisGMA/triethylene glycol dimethacrylate (TEGDMA) resin system in combination with SiO2 nanoparticles. The BisGMA/TEGDMA/SiO2 mixture was filled with various concentrations of XL-BisGMA (0, 2.5, 5, and 10 wt.%). The XL-BisGMA added composites were evaluated for viscosity, degree of conversion (DC), microhardness, and thermal properties. The results demonstrated that the addition of a lower concentration of XL-BisGMA particles (2.5 wt.%) significantly reduced (p ≤ 0.05) the complex viscosity from 374.6 (Pa·s) to 170.84. (Pa·s). Similarly, DC was also increased significantly (p ≤ 0.05) by the addition of 2.5 wt.% XL-BisGMA, with the pristine composite showing a DC of (62.19 ± 3.2%) increased to (69.10 ± 3.4%). Moreover, the decomposition temperature has been increased from 410 °C for the pristine composite (BT-SB0) to 450 °C for the composite with 10 wt.% of XL-BisGMA (BT-SB10). The microhardness has also been significantly reduced (p ≤ 0.05) from 47.44 HV for the pristine composite (BT-SB0) to 29.91 HV for the composite with 2.5 wt.% of XL-BisGMA (BT-SB2.5). These results suggest that a XL-BisGMA could be used to a certain percentage as a promising filler in combination with inorganic fillers to enhance the DC and flow properties of the corresponding resin-based dental composites. [ABSTRACT FROM AUTHOR]

Composites with Nano fillers reinforced by polymer structures are gaining popularity in the field of prosthodontic. Composite materials are being developed to meet the needs of patients, such as heat cure acrylic resins, that used so much in the field of prosthodontic. To evaluate the flexure strength of heat-cure acrylic resin reinforcement with Nano aluminum oxide (Al2O3) after polishing with various abrasive materials. A total of seventy rectangular specimens of heat cure acrylic resin with dimensions (65 mm length x 10 mm diameter x 3 mm thickness) Samples were separated into main seven groups classifications based on the addition of Nano Al2O3 and surface's polishing with different abrasive materials. Each group have (10) specimens. The highest mean value of flexure strength was obtained in group (B) (87, while the lowest value was obtained in group (F) (56.9). It concluded that the flexure strength was decreased in groups (F and G) of heat-cured resin polished with diamond, while it was increased in groups (B and C) polished with pumice, followed by the control group(A), and then by groups (D and E) that polished with colloidal. [ABSTRACT FROM AUTHOR]

Abstract Background Safety issues for dental restorative composites are critical to material selection, but, limited information is available to dental practitioners. This study aimed to compare the chemical and biological characteristics of three nanohybrid dental composites by assessing filler particle analysis, monomer degree of conversion (DC), the composition of eluates, and cytotoxicity and reactive oxygen species (ROS) production in fibroblasts. Methods Three nanohybrid composites (TN, Tetric N-Ceram; CX, Ceram X Sphere Tec One; and DN, DenFil NX) were used. The size distribution and morphology of the filler particles were analysed using scanning electron microscopy (n = 5). The DC was measured via micro-Raman spectroscopy (n = 5). For the component analysis, methanol eluates from the light-polymerised composites were evaluated by gas chromatography/mass spectrometry (n = 3). The eluates were prepared from the polymerised composites after 24 h in a cell culture medium. A live/dead assay (n = 9) and Water-Soluble Tetrazolium-1 assay (n = 9) were performed and compared with negative and positive controls. The ROS in composites were compared with NC. Statistical significance in differences was assessed using a t-test and ANOVA (α = 0.05). Results Morphological variations in different-sized fillers were observed in the composites. The DC values were not significantly different among the composites. The amounts of 2-hydroxyethyl methacrylate (HEMA) were higher in TN than DN (p = 0.0022) and triethylene glycol dimethacrylate (TEGDMA) in CX was higher than in others (p

In this work, it was evaluated the wear resistance, hardness, and surface roughness values of resin-based composites that applied in dentistry as restorative materials. The resin composites were made from six types of resin matrixes (A, B, C, D, E, and F) and each one of them has contained different types and ratios of monomers as well as the inorganic nano-fillers (SiO2, ZrO2, HA, and Al2O3). For each test, thirty specimens were prepared, which were classified into six groups depending on the types of the resin matrix and fillers used in the composites. The results prove that the nanocomposites that have the lowest rate of wear were the group E which was derived from the resin matrix of the group E that has monomers are (BIS-GMA, meth acrylamide, methacrylic acid, and 1-6 hexanediol methacrylate) with values range from 8.11 to 6.11 mm3/mm depending on the filler type material. All prepared composites resin materials (A to F) showed an increase in their hardness values as regards the reference, group D showed the highest hardness value followed by group B while group C was the lowest. The highest mean roughness was shown in groups A and F with 0.82 and 0.79 μm respectively, while the smoother surfaces among all groups were groups B and D which had significantly fewer roughness values of 0.16 and 0.19 μm respectively.

OBJECTIVE: to determine how the mass and volume of experimental composites altered following immersion in distilled water (DW) and a simulated bodily fluid (SBF). METHODS: The factors researched comprised the use of either adhesive monomer (4-methacryloyloxyethyl trimellitate anhydrite) or Chlorhexidine level, Calcium Phosphates (CalP) level, Polylysine level, and Hydroxy Ethyl Methacrylate (2-HEM) level. Circle plates of 10 mm in diameter and 1 mm in thickness were created. Gravimetric measurements of the mass and volume changes in DW and SBF were made. RESULTS: The average mass increase was ~2-5% and ~1-4% in DW and SBF respectively. On adding CalP, the average increase was ~6, 3.5, and 2% with 20, 10, and 0wt% of reactive CalP fillers. The mass change with high levels of Polylysine, and chlorhexidine (5 wt%) was on average ~1% higher than with low levels (0.5, and 0wt% respectively). Mass changes with the use of hydrophilic monomer 2-HEM were ~0.5-1% greater than with the adhesive monomer. In comparison to SBF, 12% was the highest volume increase with 20 wt% CalP in DW. The ultimate volume changes for 10 wt% CalP in DW & SBF at 12 weeks was 7.5% and 5% respectively. Overall volume changes in DW and SBF with 0% by weight CalP were 4% and 2% respectively. CONCLUSION: Mass and volume changes was highest in DW as compared to SBF, while the composites showed the potential to release over period of time. This will make the composites ideal for filling the gaps created because of polymerization shrinkage.

In this study a dentistry nanocomposite with prolonged antibacterial activity using silica nanoparticles (SNPs) loaded with chlorhexidine (CHX) was developed. SNPs were coated with the Layer-by-Layer technique. Dental composites were prepared with organic matrix of BisGMA/TEGDMA and SNPs with or without CHX (0, 10, 20 or 30% w/w). The physicochemical properties of the developed material were evaluated and agar diffusion method was used to test the antibacterial. In addition, the biofilm inhibitory activity of the composites was evaluated against S. mutans. SNPs were rounded with diameters about 50 nm, the organic load increased with increasing deposited layers. Material samples with SNPs loaded with CHX (CHX-SNPs) showed the highest values of post-gel volumetric shrinkage, that ranged from 0.3% to 0.81%. Samples containing CHX-SNPs 30% w/w showed the highest values of flexural strength and modulus of elasticity. Only samples containing SNPs-CHX showed growth inhibition against S. mutans, S. mitis and S. gordonii in a concentration-dependent manner. The composites with CHX-SNPs reduced the biofilm formation of S. mutans biofilm at 24 h and 72 h. The nanoparticle studied acted as fillers and did not interfere with the evaluated physicochemical properties while providing antimicrobial activity against streptococci. Therefore, this initial study is a step forward to the synthesis of experimental composites with improved performance using CHX-SNPs. • Silica nanoparticles were coated with multiple layers of polyelectrolytes containing chlorohexidine. • Silica nanoparticles sustain the release of chlorhexidine from weeks. • The nanoparticles, when added to the experimental composite, provided superior material properties and antimicrobial activity. • The dental material containing the silica nanoparticles releasing chlorhexidine were effective against established biofilms. [ABSTRACT FROM AUTHOR]

Performance of dental materials is influenced by the abrasion and wear qualities of the materials in contact. Despite major advancements in dental materials over the previous few decades, restorative materials, particularly composite resins, continue to wear out. Wear resistance is directly influenced by several composite resin composition and structure characteristics. The focus of this research is to explore the tribological properties of two commercially available dental composite materials using ANSYS software (Tetric N-Ceram and Z350 Dentin Shade). In the experiment, a simple tribo-system that complies with American Society for Testing and Materials (ASTM) G99 is utilised, consisting of a cylinder-shaped pin that can be deformed, rotating around a disc under wet conditions. A comparison of Z350 dentin shade and Tetric n Ceram simulations for the same load and simulation time revealed that the former material had greater wear resistance. Simulation results showed that as the stress on the pin increases, wear for both materials increases, which is supported by experiment data from the pin-on-disc tribometer setup. [ABSTRACT FROM AUTHOR]

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The innovation of nanocellulose as reinforcement filler in composites has been a topic of interest in the development of new biomaterials. The objective of this study was to investigate the mechanical properties of a nanohybrid dental composite made of rice husk silica and loaded with different percentages of kenaf nanocellulose. Kenaf cellulose nanocrystals (CNC) were isolated and characterized using a transmission electron microscope (TEM) (Libra 120, Carl Zeiss, Germany). The experimental composite was fabricated with fiber loadings of 1 wt%, 2 wt%, 3 wt%, 4 wt%, and 6 wt% silane-treated kenaf CNC, and subjected to a flexural and compressive strength test (n = 7) using an Instron Universal Testing Machine (Shimadzu, Kyoto, Japan), followed by a scanning electron microscopic assessment of the flexural specimen's fracture surface using a scanning electron microscope (SEM) (FEI Quanta FEG 450, Hillsborough, OR, USA). Commercial composites Filtek Z350XT (3M ESPE, St. Paul, MN, USA), Neofil (Kerr Corporation, Orange, CA, USA) and Ever-X Posterior (GC Corporation, Tokyo, Japan) were used as a comparison. The average diameter of kenaf CNC under TEM was 6 nm. For flexural and compressive strength tests, one-way ANOVA showed a statistically significant difference (p < 0.05) between all groups. Compared to the control group (0 wt%), the incorporation of kenaf CNC (1 wt%) into rice husk silica nanohybrid dental composite showed a slight improvement in mechanical properties and modes of reinforcement, which was reflected in SEM images of the fracture surface. The optimum dental composite reinforcement made of rice husk was 1 wt% kenaf CNC. Excessive fiber loading results in a decline in mechanical properties. CNC derived from natural sources may be a viable alternative as a reinforcement co-filler at low concentrations. [ABSTRACT FROM AUTHOR]

Although salivary liquid can degrade constituents in resin‐based dental composites in short‐term incubations, there is a knowledge gap on how longer‐term aging impacts their bulk strength. We address this through extended aging studies with resin‐based dental composites in different environments. Two commercial composites (FIL and AEL) were aged aseptically at 37°C in air (A, control), artificial saliva (AS), and esterase enzyme amended AS (EAS). Diametral and pushout strength were measured after periods of 120–180 days. At 120 days, the diametral strength of composites aged in air was 69.9 ± 11.0 and 57.7 ± 3.31 MPa in FIL and AEL, respectively. These were significantly greater compared to composites aged in AS (32.1 ± 7.01 and 46.2 ± 9.38 MPa in FIL and AEL, respectively) or EAS (36.7 ± 8.49 and 43.5 ± 5.51 MPa in FIL and AEL, respectively). In contrast, pushout strength for both composites were smaller in A compared to those aged in AS and EAS, results attributed to AS absorption and polymer expansion. No significant change in either diametral or pushout strength occurred after 120 days. There was no significant difference between aging in AS and EAS, suggesting that esterase did not significantly decrease the bulk material strength to a greater extent than AS under the test conditions. Aqueous diffusivities for the composites ranged from 8.4 to 11 × 10−13 m2/s, with associated porosities ranging from 0.06% to 0.10%. These results indicate that saturation of a typical dental composite occurs over a time frame of 4–5 months, longer than typical aging studies. Together, the results demonstrate the importance of aging time on composite strength. [ABSTRACT FROM AUTHOR]

The aim of this work was to assess the limiting rate of eugenol (Eg) and eugenyl-glycidyl methacrylate (EgGMA) at which the ideal degree of conversion (DC) of resin composites is achieved. For this, two series of experimental composites, containing, besides reinforcing silica and a photo-initiator system, either EgGMA or Eg molecules at 0–6.8 wt% per resin matrix, principally consisting of urethane dimethacrylate (50 wt% per composite), were prepared and denoted as UGx and UEx, where x refers to the EgGMA or Eg wt% in the composite, respectively. Disc-shaped specimens (5 × 1 mm) were fabricated, photocured for 60 s, and analyzed for their Fourier transform infrared spectra before and after curing. The results revealed concentration-dependent DC, increased from 56.70% (control; UG0 = UE0) to 63.87% and 65.06% for UG3.4 and UE0.4, respectively, then dramatically decreased with the concentration increase. The insufficiency in DC due to EgGMA and Eg incorporation, i.e., DC below the suggested clinical limit (>55%), was observed beyond UG3.4 and UE0.8. The mechanism behind such inhibition is still not fully determined; however, radicals generated by Eg may drive its free radical polymerization inhibitory activity, while the steric hindrance and reactivity of EgGMA express its traced effect at high percentages. Therefore, while Eg is a severe inhibitor for radical polymerization, EgGMA is safer and can be used to benefit resin-based composites when used at a low percentage per resin. [ABSTRACT FROM AUTHOR]

Recently, silsesquioxanes (SSQ) and polyhedral oligomeric silsesquioxanes (POSS) have gained much interest in the area of biomaterials, mainly due to their intrinsic properties such as biocompatibility, complete non-toxicity, the ability to self-assemble and to form a porous structure, facilitating cell proliferation, creating a superhydrophobic surface, osteoinductivity, and ability to bind hydroxyapatite. All the above has resulted in new developments in medicine. However, the application of POSS-containing materials in dentistry is still at initial stage and deserves a systematic description to ensure future development. Significant problems, such as reduction of polymerization shrinkage, water absorption, hydrolysis rate, poor adhesion and strength, unsatisfactory biocompatibility, and corrosion resistance of dental alloys, can be addressed by the design of multifunctional POSS-containing materials. Because of the presence of silsesquioxanes, it is possible to obtain smart materials that allow the stimulation of phosphates deposition and repairing of micro-cracks in dental fillings. Hybrid composites result in materials exhibiting shape memory, as well as antibacterial, self-cleaning, and self-healing properties. Moreover, introducing POSS into polymer matrix allows for materials for bone reconstruction, and wound healing. This review covers the recent developments in the field of POSS application in dental materials and gives the future perspectives within a promising field of biomedical material science and chemical engineering. [ABSTRACT FROM AUTHOR]

Due to the questionable durability of dental restorations, there is a need to increase the lifetime of composite restoration. The present study used diethylene glycol monomethacrylate/4,4′-methylenebis(cyclohexyl isocyanate) (DEGMMA/CHMDI), diethylene glycol monomethacrylate/isophorone diisocyanate (DEGMMA/IPDI) monomers, and bis(2,6-diisopropylphenyl)carbodiimide (CHINOX SA-1) as modifiers of a polymer matrix (40 wt% urethane dimethacrylate (UDMA), 40 wt% bisphenol A ethoxylateddimethacrylate (bis-EMA), and 20 wt% triethyleneglycol dimethacrylate (TEGDMA)). Flexural strength (FS), diametral tensile strength (DTS), hardness (HV), sorption, and solubility were determined. To assess hydrolytic stability, the materials were tested before and after two aging methods (I-7500 cycles, 5 °C and 55 °C, water and 7 days, 60 °C, 0.1 M NaOH; II-5 days, 55 °C, water and 7 days, 60 °C, 0.1 M NaOH). The aging protocol resulted in no noticeable change (median values were the same as or higher than the control value) or a decrease in the DTS value from 4 to 28%, and a decrease in the FS value by 2 to 14%. The hardness values after aging were more than 60% lower than those of the controls. The used additives did not improve the initial (control) properties of the composite material. The addition of CHINOX SA-1 improved the hydrolytic stability of composites based on UDMA/bis-EMA/TEGDMA monomers, which could potentially extend the service life of the modified material. Extended studies are needed to confirm the possible use of CHINOX SA-1 as an antihydrolysis agent in dental composites. [ABSTRACT FROM AUTHOR]

Among the newest trends in dental composites is the use of graphene oxide (GO) nanoparticles to assure better cohesion of the composite and superior properties. Our research used GO to enhance several hydroxyapatite (HA) nanofiller distribution and cohesion in three experimental composites CC, GS, GZ exposed to coffee and red wine staining environments. The presence of silane A-174 on the filler surface was evidenced by FT-IR spectroscopy. Experimental composites were characterized through color stability after 30 days of staining in red wine and coffee, sorption and solubility in distilled water and artificial saliva. Surface properties were measured by optical profilometry and scanning electron microscopy, respectively, and antibacterial properties wer e assessed against Staphylococcus aureus and Escherichia coli. A colour stability test revealed the best results for GS, followed by GZ, with less stability for CC. Topographical and morphological aspects revealed a synergism between GZ sample nanofiller components that conducted to the lower surface roughness, with less in the GS sample. However, surface roughness variation due to the stain was affected less than colour stability at the macroscopic level. Antibacterial testing revealed good effect against Staphylococcus aureus and a moderate effect against Escherichia coli. [ABSTRACT FROM AUTHOR]

Dental caries and dental restorations possess a long history and over the years, many materials and methods have been invented. In recent decades, modern techniques and materials have brought complexity to this issue, which has created the necessity to investigate more and more to achieve durability, consistency, proper mechanical properties, efficiency, beauty, good colour, and reduced costs and time. Combined with the recent advances in the medical field, mechanical engineering plays a significant role in this topic. This work aims at studying the elasto-static response of a human molar tooth as a case study, respecting the integral property of the tooth and different composite materials of the dental restoration. The structural integrity of the case study will be assessed through advanced numerical modelling resorting to meshless methods within the stress analysis on the molar tooth under different loading conditions. In this regard, bruxism is considered as being one of the most important cases that cause damage and fracture in a human tooth. The obtained meshless methods results are compared to the finite element method (FEM) solution. The advantages and disadvantages of the analysed materials are identified, which could be used by the producers of the studied materials to improve their quality. On the other hand, a computational framework, as the one presented here, would assist the clinical practice and treatment decision (in accordance with each patient’s characteristics).

The surface characteristics of the restorative material are essential to its longevity. Since resin composites are polymeric-based materials, they could be degraded when exposed to oral conditions and chemical treatment. Certain chemical solutions, such as fluoride varnish, have the potential to deteriorate the resin composite’s surface properties such as gloss and hardness. The current study aimed to assess and compare the surface gloss and hardness of different types of dental resin composites (nanohybrid, ormocer, bulk-fill flowable direct composites, and indirect CAD/CAM resin composite blocks (BreCAM.HIPC)) after a single application of Bifluorid 10 varnish. A total of 80 disc-shaped resin composite specimens were evenly distributed in four groups of 20 specimens. These were divided into two equal subgroups of specimens with topical fluoride (TF) application (n = 10) and without TF application (n = 10). The specimens were examined for surface gloss and hardness. Independent sample t-test was used to investigate statistically the effect of TF on the gloss as well as the hardness of each material. One-way ANOVA and post hoc tests were used to assess the difference in gloss and hardness among the materials without and with TF application. The significance level was adjusted to p ≤ 0.05. The results of gloss showed that the TF application led to a significant reduction in gloss values of all tested composites. The gloss among the various materials was significantly different. The TF had no significant effect on the hardness of nanohybrid, bulk-fill flowable, and BreCAM.HIPC composites (p = 0.8, 0.6, and 0.3, respectively). On the other hand, the hardness of ormocer was significantly reduced after TF application. Comparing the different resin composite materials, the hardness significantly differed. This study concluded that surface gloss and hardness seem to be impacted by the type and composition of the resin composites and vary depending on fluoride application.

Silicon carbide fibers have superior flexural properties and chemical stability compared to glass fibers. We investigated the flexural strength and modulus of an experimental, short silicon carbide fiber-reinforced resin. Short silicon carbide fibers with lengths of ~0.5, 1, 2, and 3 mm were prepared and silanized. Urethane dimethacrylate and triethylene glycol dimethacrylate were mixed at a 70:30 wt% ratio and used as the matrix resins. Each length of short silicon carbide fibers and the matrix resin were combined using a mixing machine and then used for specimen preparation. The three-point bending test conditions were in accordance with ISO 4049:2009. The fracture surfaces of the specimens after the three-point bending test were observed using secondary electron images. The data were statistically analyzed with a one-way analysis of variance and Tukey’s HSD test (α = 0.05). The flexural strength and modulus of the specimens containing 2 mm or 3 mm silicon carbide fibers were significantly higher than the other specimens. The river pattern was observed more clearly in specimens containing shorter silicon carbide fibers, although this pattern was observed in all specimens.

The aim of this study was to investigate leachable components (monomers) in high and low viscosity dental bulk-fill resin composites and conventional resin composite materials after polymerization. Six bulk-fill and six conventional dental resin composite materials were used in this study. The samples of each material (three sets of triplicates) were cured for 20 s with irradiance of 1200 mW/cm2 with a LED curing unit and immersed in a 75% ethanol solution at 37 °C. The eluates from each triplicate set were analyzed after 24 h, 7 days or 28 days using liquid chromatography coupled with triple quadrupole tandem mass spectrometry (LC-MS/MS). Detectable amounts of 2-Hydroxyethyl methacrylate (HEMA) were found in both Gradia materials and the amount observed across different time points was statistically different (p ˂ 0.05), with the amount in solution increasing for Gradia and decreasing for Gradia Direct flo. Bisphenol A diglycidildimethacrylate (BIS GMA) was found in Filtek and Tetric materials. Triethylene glycol dimethacrylate (TEGDMA) was detected in all materials. On the other hand, there were no statistically significant differences in the amounts of TEGDMA detected across different time points in either of the tested materials. Monomers HEMA, TEGDMA, 4-dimethylaminobenzoic acid ethyl ester (DMA BEE) and BIS GMA in bulk-fill and conventional composites (high and low viscosity) can be eluted after polymerization. The good selection of composite material and proper handling, the following of the manufacturer's instructions for polymerization and the use of finishing and polishing procedures may reduce the elution of the unpolymerized monomers> responsible for the possible allergic and genotoxic potential of dental resin composites. [ABSTRACT FROM AUTHOR]

(1) Background: The aim of the study was to determine the effect of modification with sintered hydroxyapatite (HAp) on selected mechanical and tribological properties of a flow-type composite. (2) Methods: Samples in the shapes of cuboidal beams (n = 120) and cylinders (n = 120) with the proper dimensions were prepared from a standard flow-type composite and others with the addition of 2% wt., 5% wt., and 8% wt. sintered hydroxyapatite. The bending strength, compression strength, diametral compression strength, impact resistance, hardness, and tribological properties were compared. (3) Results: In all cases, it was established that an increase in the amount of HAp caused a reduction in the bending, compression, and diametral compression strength. Increasing the amount of added HAp also reduced the impact strength, hardness, and wear resistance. However, the differences were statistically insignificant. (4) Conclusions: The addition of hydroxyapatite to a flow-type composite material worsened its mechanical and tribological properties; however, the obtained values were acceptable with 2% wt. and 5% wt. HAp. [ABSTRACT FROM AUTHOR]

Poly(methyl methacrylate) (PMMA)/nanobarium titanate (NBT) composite has potential application in denture base materials. The denture base materials should be stable in the wet environment and exhibit good mechanical properties. This study aimed to evaluate the effectiveness of titanate coupling agent (TCA) on NBT behavior after soaking in the simulated body fluid (SBF) and to determine the effect of SBF exposure on fracture toughness of the PMMA nanocomposites. Silanated (Si-NBT), titanated (Ti-NBT), and pure NBT (Un-NBT) at 5% concentration (by mass) were incorporated in the PMMA matrix. NBT was sonicated in MMA prior to mixing with PMMA. SBF absorption, solubility, and leaching were measured, and fracture toughness of the PMMA nanocomposites was evaluated after soaking. The results showed that Titanated samples displayed lower SBF absorption capability and solubility values than the silanated ones. Moreover, the leachability of filler elements (Ba and Ti) was substantially reduced by titanation (54% and 61%, respectively), whereas the Si-NBT/PMMA revealed values of 12.3% and 7% respectively. Significant differences in fracture toughness were observed among the tested samples after 6 weeks of aging in SBF (p < 0.05). Although no notable changes in the KIC of pure PMMA and Un-NBT/PMMA samples were detected, KIC was improved by 20% after titanation. In addition, the fracture toughness of the titanated samples was higher than that of the silanated ones by 26%. In conclusion, TCA exhibited better stability in moisture than silane. Degradation resistance to moisture obtained with titanated NBT could lead to the promotion of clinical longevity of the composites. [ABSTRACT FROM AUTHOR]

The aim of the study was to determine the knowledge, attitude, and practice regarding the use of composites for orthodontic purposes among dental students. The questionnaire was designed to evaluate knowledge, attitude, and awareness. Google Forms was used for the distribution of questions. This is a questionnaire survey based on knowledge, attitude, and awareness regarding the use of composites for orthodontic purposes among dental students; 86% of them had awareness regarding the use of composites for orthodontic purposes, wherein the remaining 14% were not aware. Considering the limitations of the study groups, we can conclude that the knowledge, attitude, and awareness regarding the use of composites for orthodontic purposes among dental students were good. However, there is still a lack of knowledge in few perspectives which can be overcome with continuous dental education programs and lectures [ABSTRACT FROM AUTHOR]