3D FINITE ELEMENT ANALYSIS OF THE DAMAGE EFFECTS ON THE DENTAL COMPOSITE SUBJECT TO WATER SORPTION

The damage effects of water sorption on the mechanical properties of the hydroxyapatite particle reinforced Bis-GMA/TEGDMA copolymer （HA/Bis-GMA/TEGDMA） h-ave been predicted using 3D finite cell models. The plasticizer effect on the polymer matrix was considered as a variation of its Young＇s modulus. Three different cell models were used to determine the influence of varying particle contents, interphase strength and moisture concentration on the debonding damage. The stress distribution pattern has been examined and the stress transfer mode clarified. The Young＇s modulus and fracture strength of the Bis-GMA/TEGDMA composite were also predicted using the model with and without consideration of the damage. ine Iormer results with consideration of the debonding damage are in good agreement with existing literature experimental data. The shielding effect of our proposed model and an alternative approach were discussed. The FCC cell model has also been extended to predict the critical load for the damaged and the undamaged composite subject to the 3-point flexural test.

Mechanical properties of dental composite resins containing nanodiamond of different diameters

In order to investigate the effect of nanodiamond （ND） on the mechanical properties of dental composite resins, bisphenol-A-glycidyl dimethacrylate （ Bis-GMA ）, triethylene glycol dime- thacrylate （ TEGDMA）, barium glass （BG） powder, DL-camphoroquinone （CQ） and dimethylamin- oethylmethacrylate （DMAEMA） were mixed as the matrix for the experiments. NDs of three diame- ters （ 100 nm, 220 nm, 500 nm） modified with 3-（trimethoxysilyl） propyl methacrylate （γ-MPS） were added to the mixture separately in 0. 2% to get test samples. The fiexural strength and elastic modulus of these samples and the mixture without ND （as the reference group, RG） were characterized with standard specification tests. Results reveal that the mechanical properties and elastic modulus of resins containing 220 nm ND （ R-220 ） and 500 nm ND （ R-500 ） were significantly different from those of RG. R-500 had the highest flexural strength and elastic modulus （ by average data）, and all of its five specimens were found to have mean flexural strength values greater than the minimum value （80MPa） prescribed by ISO 4049： 2000. Different sizes of diamonds have different effects on mechanical properties of dental composite resins, and the performances of 220 nm and 500 nm diamonds are better than that of 100 nm diamond.

Effect of Preheat Temperatures on Mechanical Properties and Polymerization Contraction Stress of Dental Composites

Objectives: The purpose of this study was to investigate the effect of preheat temperatures on polymerization contraction stress and mechanical properties of three resin composites. Methods: Three resin composites (Filtek Supreme XT, GC Kalore, and Gradia Direct X) at room temperature, 37°C, and 60°C were investigated. Stress development and maximum contraction stress of the composites were evaluated. Directly after preheating, samples were light-cured for 40 seconds and the force recorded for 15 minutes. Subsequent calculations were done to account for the system’s compliance and to obtain the shrinkage stress of the composites. In addition, composite discs (5 mm? and1 mmthick) were light-cured for 40 seconds at the preheat temperature. Hardness, elastic modulus, and creep of composites were investigated using a nano-indentation system (UMIS 2000). The results were analyzed using Two-way Analysis of Variance (2-way ANOVA) and Tukey’s Post-Hoc test (α = 0.05). Results: The results indicated that preheating composites to 37°C and 60°C increased the polymerization contraction forces, but did not significantly affect hardness, elastic modulus, and creep behaviour of the materials. Analysis of the contraction force upon allowing for thermal contraction indicated only a minor influence of preheat temperature. Significance: Preheating composites, upon allowing for system thermal contraction, showed a slight increase of the polymerization contraction stress but did not significantly affect the composites’ mechanical properties.

Fracture and Tribological Evaluation of Dental Composite Resins Containing Pre-polymerized Particle Fillers

The fracture and tribological evaluation of dental composite resin containing pre-polymerized particle fillers were investigated. Composite resins, e.g. metafil, silux plus, heliomolar and palfique estelite were selected as specimens in order to evaluate the effects of pre-polymerized particle filler on the fracture and wear characteristics of composite resins. In the wear tests, a ball-on-flat wear test method was used. The friction coefficient of metafil was quite high. The wear resistance of silux plus and palfique estelite was better than that of metafil and heliomolar under the same experimental condition. The main wear mechanism of composite resins containing pre-polymerized particle fillers was an abrasive wear by brittle fracture of pre-polymerized particles and by debonding of fillers and matrix.

Application of digital image correlation to full-field measurement of shrinkage strain of dental composites

Objectives： Polymerization shrinkage of dental composites remains a major concern in restorative dentistry because it can lead to micro-cracking of the tooth and debonding at the tooth-restoration interface. The aim of this study was to measure the full-field polymerization shrinkage of dental composites using the optical digital image correlation （DIC） method and to evaluate how the measurement is influenced by the factors in experiment setup and image analysis. Methods： Four commercial dental composites, Premise Dentine, Z 100, Z250 and Tetric EvoCeram, were tested. Composite was first placed into a slot mould to form a bar specimen with rectangular-section of 4 mmx2 mm, followed by the surface painting to create irregular speckles. Curing was then applied at one end of the specimen while the other part were covered against curing light for simulating the clinical curing condition of composite in dental cavity. The painted surface was recorded by a charge-coupled device （CCD） camera before and after curing. Subsequently, the volumetric shrinkage of the specimen was calculated with specialist DIC software based on image cross correlation. In addition, a few factors that may influence the measuring accuracy, including the subset window size, speckle size, illumination light and specimen length, were also evaluated. Results： The volumetric shrinkage of the specimen generally decreases with increasing distance from the irradiated surface with a conspicuous exception being the composite Premise Dentine as its maximum shrinkage occurred at a subsurface distance of about 1 mm instead of the irradiated surface. Z100 had the greatest maximum shrinkage strain, followed by Z250, Tetric EvoCeram and then Premise Dentine. Larger subset window size made the shrinkage strain contour smoother. But the cost was that some details in the heterogeneity of the material were lost. Very small subset window size resulted in a lot of noise in the data, making it difficult to discern the general pattern in the strain distribution. Speckle size did not seem to have obvious effect on the volumetric shrinkage strain along specimen length; however, larger speckles resulted in higher level of noise or heterogeneity in the shrinkage distribution. Compared with bright illumination, dimmer lighting produced larger standard deviations in the measured shrinkage~ indicating a higher level of noise. The longer the specimen, the greater was the rate of reduction with distance from the irradiated surface, especially for the longitudinal strain. Significance： The image correlation method is capable of producing full-field polymerization shrinkage of dental composites. The accuracy of the measurements relies on selection of optimal parameters in experimental setup and DIC analysis.

The effect of temperature on the wear behaviour of dental composites

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 mecha-nisms during the consumption of hot substances,hence the focus of this study.Recip-rocating wear tests were carried out at varying artificial saliva lubricant temperatures(37 and 57℃)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.

Nanoindentation Study on Mechanical Properties of Nano-SiO2/Dental Resin Composites

The micro/nano-scale indentation tests were performed to explore the performance of bisphenol-α-glycidyl methacrylate (Bis-GMA)/triethylene glycol dimethacrylate (TEGDMA) dental resin composites. The effect of the filling content of nano-SiO2 particles on the mechanical properties of the dental composites was studied as well. The experimental results showed that the incorporation of the nano-SiO2 particles at low concentrations (up to 10 wt.%) can apparently increase the hardness and elastic modulus of the dental rein composites. The plasticity index indicates a best elastic recovery capability at a proper amount (4 wt.%) of the nanoparticles. Combined with the infrared spectrum, the mechanical enhancement mechanisms of the dental resin composites were analyzed.

Synthesis and evaluation of a novel antibacterial dental resin composite with quaternary ammonium salts

The novel quaternary ammonium bromide (QAB)-containing oligomers were synthesized and applied for developing an antibacterial resin composite. Compressive strength (CS) and S. mutans (an oral bacteria strain) viability were used to evaluate the mechanical strength and antibacterial activity of the formed composites. All the QAB-modified resin composites showed significant antibacterial activity and mechanical strength reduction. Increasing chain length and loading significantly enhanced the antibacterial activity but dramatically reduced the CS as well. The 30-day aging study showed that the incorporation of the QAB accelerated the degradation of the composite, suggesting that the QAB may not be well suitable for development of antibacterial dental resin composites or at least the QAB loading should be well controlled, unlike its use in dental glass-ionomer cements. The work in this study is beneficial and valuable to those who are interested in studying antibacterial dental resin composites.

Antibacterial Dental Resin Composites: A Narrative Review

Lack of antibacterial properties in resin-based composites (RBCs) is one of the flaws that cause the failure of filling clinically. Several agents have been incorporated to endow RBCs with antibacterial properties. In this review, we summarize the recent antibacterial agents between 2015 and 2020 using keywords of antibacterial or antimicrobial dental resin composites by PubMed databases. The most effective strategies are concerned with polymerizable monomers (50%), followed by filler particles (39%) and leachable agents (11%). A recent modification of the antibacterial agent is either by combining two agents from the same category or mixing agents from different categories in one. More than two methods were used in one study to assess antibacterial efficacy. The most common method was biofilm colony-forming units (CFUs) counting method (40%), followed by live/dead bacteria staining assay of biofilms (25%), metabolic activity assay of biofilms using MTT assay (16%), lactic acid production assay of biofilms (8%), agar diffusion test (8%), and other methods (3%) such as minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC).

光交联复合水凝胶支架中人牙髓干细胞的成骨/成牙分化能力

背景:甲基丙烯酸酐改性明胶(gelatin-methacryloyl,Gel-MA)与经处理牙本质基质(treated dentin matrix,TDM)在一定比例下经过紫外线交联后形成的复合水凝胶支架具有良好的孔隙率、机械性能、溶胀性能及生物降解率,这为临床上年轻恒牙的牙髓再生提供了新的思路和方法。目的:探究1∶2质量比Gel-MA/TDM复合光交联水凝胶支架对人牙髓干细胞增殖能力及成骨/成牙本质分化能力的影响。方法:将第3代牙髓干细胞接种至1∶2质量比Gel-MA/TDM复合水凝胶支架中,采用CCK-8实验检测人牙髓干细胞在复合水凝胶支架中的增殖能力。将第3代牙髓干细胞接种至1∶2质量比Gel-MA/TDM复合水凝胶支架中并进行成骨诱导,采用碱性磷酸酶染色及茜素红染色观察矿化结节的形成情况,采用RT-PCR检测成牙相关因子(牙本质基质蛋白1、牙本质涎磷蛋白)和成骨相关因子(骨钙素、Runt相关转录因子2)的基因表达。结果与结论:①CCK-8检测结果显示,前7 d的牙髓干细胞增殖能力明显升高,第10天时速度减缓;②碱性磷酸酶染色及茜素红染色结果显示,Gel-MA/TDM复合水凝胶组牙髓干细胞的碱性磷酸酶活性及矿化结节生成强于单纯Gel-MA水凝胶组(P<0.05);③RT-PCR结果显示,Gel-MA/TDM复合水凝胶组牙髓干细胞中牙本质基质蛋白1、牙本质涎磷蛋白、骨钙素、Runt相关转录因子2的基因表达量明显高于单纯Gel-MA水凝胶组(P<0.05),且14 d基因表达量明显高于7 d(P<0.05)。结果表明,培养在1∶2 Gel-MA/TDM复合水凝胶支架上的牙髓干细胞表现出较好的增殖能力,能够强化牙髓干细胞的成骨、成牙本质分化能力。

Chemical composition of Galla chinensis extract and the effect of its main component(s) on the prevention of enamel demineralization in vitro

To determine the chemical composition of Galla chinensisextract （GCE） by several analysis techniques and to compare the efficacy of GCE and its main component（s） in inhibition of enamel demineralization, for the development of future anticaries agents, main organic composition of GCE was qualitatively determined by liquid chromatography-time of flight-mass spectrometry （LC-TOF-MS） and quantified by high-performance liquid chromatography-diode array detector （HPLC-DAD）. Inorganic ions were tested by inductively coupled plasma-atomic emission spectroscopy and F was especially measured by ion chromatography. Then, bovine enamel blocks were randomly divided into four treatment groups and were subjected to a pH-cycling regime for 12 times. Each cycle included 5-min applications with one of four treatments： 4g.L-1 GCE solution, 4g.L-1 gallic acid （GA） solution, I g.L-1 NaF solution （positive control）, deionized water （DDW, negative control）, and then 60-min application in pH 5.0 acidic buffer and 5-min application in neutral buffer. Acidic buffers were retained for calcium analysis. The main organic composition of GCE were GA and its isomer, and, to a lesser extent, small molecule gallotannins. The content of GA in GCE was 71.3%±0.2% （w/w）. Inorganic ions were present in various amounts, of which Ca was （136±2.82） μg.g-1, and Zn was （6.8±0.1） μg.g-1. No F was detected in GCE. in pH cycling, GA showed an effect similar to GCE in inhibiting enamel demineralization （P〉0.05）. GA was found to be the main effective, demineralization inhibiting component of GCE and could be a promising agent for the development of anticaries agents.

A General Strategy for Efficiently Constructing Multifunctional Cluster Fillers Using a Three-Fluid Nozzle Spray Drying Technique for Dental Restoration

Multifunctional fillers are greatly required for dental resin composites(DRCs).In this work,a spray dryer with a three-fluid nozzle was applied for the first time to construct high-performance complex nanoparticle clusters(CNCs)consisting of different functional nanofillers for dental restoration.The application of a three-fluid nozzle can effectively avoid the aggregation of different nanoparticles with opposite zeta potentials before the spray drying process in order to construct regularly shaped CNCs.For a SiO_(2)–ZrO_(2) binary system,the SiO_(2)–ZrO_(2) CNCs constructed using a three-fluid nozzle maintained their excellent mechanical properties((133.3±4.7)MPa,(8.8±0.5)GPa,(371.1±13.3)MPa,and(64.5±0.7)HV for flexural strength,flexural modulus,compressive strength,and hardness of DRCs,respectively),despite the introduction of ZrO_(2) nanoparticles,whereas their counterparts constructed using a two-fluid nozzle showed significantly decreased mechanical properties.Furthermore,heat treatment of the SiO_(2)-ZrO_(2) CNCs significantly improved the mechanical properties and radiopacity of the DRCs.The DRCs containing over 10%mass fraction ZrO_(2) nanoparticles can meet the requirement for radiopaque fillers.More importantly,this method can be expanded to ternary or quaternary systems.DRCs filled with SiO_(2)-ZrO_(2)-ZnO CNCs with a ratio of 56:10:4 displayed high antibacterial activity(antibacterial ratio>99%)in addition to excellent mechanical properties and radiopacity.Thus,the three-fluid nozzle spray drying technique holds great potential for the efficient construction of multifunctional cluster fillers for DRCs.

Effect of Temperatures on Polymerization Stress and Microleakage of Class V Composite Restorations

The loss of interfacial integrity was identified as one of the major causes for replacement of resin composite restorations. Preheating procedure has been proven to enhance flowability and adaptation of resin composites and increase their degree of conversion. The purpose of this study was to investigate polymerization contraction stress produced in resin composites after preheating to 37℃ and 60℃, and measure microleakage of Class V restorations restored with preheated composites. Three resin composites (GC Kalore, Gradia Direct X, Filtek Supreme XT) at room temperature, 37℃, and 60℃ were investigated. Maximum contraction stress of the composites (n = 5) was evaluated in a modified low-compliance device. Samples were light-cured for 40 seconds and the maximum force was recorded during 15 minutes. Calculations were done to adjust for the system’s compliance and obtain linear shrinkage values of composites. Data were analyzed by Multivariated Analysis of Variance (MANOVA) and Tukey’s test for multiple comparisons (α = 0.05). Seventy-two Class V cavities were prepared on the buccal surfaces of extracted premolars and divided into 9 groups. The teeth were restored with composites at 3 temperatures and were thermo-cycled between 5℃ and 55℃ with a one-minute dwell-time for 1000 cycles. The teeth were sealed with wax and nail vanish before placed in 0.5% toluidine blue dye for 24 hours. The teeth were embedded in self-curing resin and sectioned bucco-lingually with a slow-speed diamond saw, providing 3 sections per restoration. Microleakage was rated by two evaluators using a 0 - 4 ordinal scale at the occlusal and cervical margins under light microscope. Microleakage data were analyzed with Kruskal-Wallis ANOVA and Mann-Whitney U test (α = 0.05). Results indicate that preheating composites to 37℃ and 60℃ significantly increased polymerization contraction stress of composites (p 0.05). A significantly greater amount of leakage was found at the cervical margins (p 0.05). For all tested materials, preheating composites to 60℃ resulted in significantly less microleakage at the cervical margin.

Mechanical Properties, Biocompatibility and Anti-Bacterial Adhesion Property Evaluation of Silicone-Containing Resin Composite with Different Formulae

Novel branched silicone methacrylate was developed.The mechanical and biological properties of the resin system were investigated to select the formula proportion with the best overall performance.The novel silicone-containing monomers were combined with an incremental sequence of glass filler concentrations in commonly used Bis-GMA/TEGDMA(50/50,wt./wt.)dental resin systems.Physicochemical properties,surface properties,antibacterial adhesion effect,anti-biofilm effect,protein adsorption,and cytotoxicity were evaluated.The results showed that BSMs did not affect the double bond conversion of dental resin,but could reduce volumetric shrinkage(p<0.05).The BSM containing resins can resist protein and bacteria adhesion(S.mutans)because it has increased hydrophobicity and a lower free energy surface(p<0.05).However,there were no statistically significant differences in cytotoxicity,surface roughness,and double bond conversion rate.Overall,the results indicate that changes in a material’s properties are not strictly proportional to its composition.Synthetic silicone resin methacrylate can reduce the polymerization shrinkage,have low surface energy and anti-adhesion properties.Silicone composite resin containing 70%matrix has the best comprehensive properties.The silicone methacrylate composite represents an innovative method to improve the properties and reducing secondary caries.

A New Route for Preparation of β-TCP/ PLLA Composite

A new facile route for preparation of β-TCP/PLLA composites is reported in this letter. SEM images display that β-TCP particles with average diameter of 400 nm were well bonded and distributed within the pore walls of the PLLA scaffolds. The mixture of the novel complex and human dental pulp cells was transplanted subcutaneously into the dorsal surface of a nude mouse. Two months later histological examination showed that new collagen and new dentin formed. The results revealed that the new nano β-TCP/PLLA composite combined with human pulp cells could induce dentin formation offering a new way to dental tissue engineering.

In-Vitro Cellular Responses of Human Dental Primary Cells to Dental Filling Restoratives

In vitro cytotoxicity of six contemporary commercial dental filling restoratives on human dental primary cells, pulp cells (HPCs) and human gingival fibroblasts (HGFs), were tested using WST-1 assay. Continuous 3T3 mouse fibroblast cell lines were used for comparison. The results show that conventional glass-ionomer cement (GIC) Fuji II is not cytotoxic to all the cells. Resin-modified GIC (RMGIC) Fuji II LC is not cytotoxic to both HPCs and HGFs but cytotoxic to 3T3 cells. RMGIC Vitremer and resin composite Z100 are very cytotoxic to all the cells. Resin composite P60 is cytotoxic but much less cytotoxic than Z100. Polycarboxylate cement Durelon is the most cytotoxic among the six tested materials. It was found that continuous 3T3 cell lines were more vulnerable to leachable cytotoxic components than primary HPCs and HGFs. It was also found that the cytotoxcity of the tested materials was dose-dependent.

Comparison of Fracture Resistance Strength of Six Non-metal Dental Posts under the Oblique Load in Vitro

目的:测试6种非金属桩钉的抗折性能,以了解不同桩钉的强度,从而指导临床合理选择桩钉。材料:将36件桩钉按种类分为6个实验组(n=6):A组:Parapost fiber(Whaledent Coltene);B组:Aesthetic Plus(Bisco);C组:Cosmopost(Ivoclar Vivadent);D组:Exper-fiber A(NWPU);E组:Exper-fiber B(NWPU);F组:Exper-fiber C(NWPU)。将待测的桩钉固定于特别加工的夹具中,用通用电子力学试验机测试桩钉在135°单端受力时的破坏载荷,对结果进行方差分析和SNK检验。结果:不同种类桩钉的抗折力不同,Exper-fiber A posts和Exper fiber Bposts的抗折力无显著差异,分别是(87.21±3.12)N和(89.26±1.72)N。与其他组相比Exper-fiber C posts的抗折力最高为(99.93±1.97)N。Parapost-fiber组的抗折力最低为(47.07±1.36)N。结论:不同种类非金属桩钉的抗折力不同,临床使用中应根据实际受力情况合理选择。

Treatment of pulpless coloured anterior tooth by bleaching the interior of pulp cavity and filling the cavity with composite

A method of treating pulpless coloured anterior tooth is presented.Most part ofthe coloured dentin of the labial crown was removed and the dental structure was bleachedwith 30% hydrogen peroxide for 5min.The pulp cavity was then filled with whitephoto-curing composite.The result of the treatment is quite satisfactory.With our treatment,the intact contour of the crown and the hardness and gloss of the enamel are preserved.SEM proved that the composite was tightly bound with the enamel of the medial wall of thepulp cavity,forming an entity with the tooth,thus guaranteeing the strength of the crown.

In vitro responses of human pulp cells and 3T3 mouse fibroblasts to six contemporary dental restoratives

In vitro responses of human primary pulp cells (HPCs) and 3T3 mouse fibroblasts to six contempo-rary commercial dental restoratives were evaluated using the WST-1 assay. The results show that Fuji II is not cytotoxic to both cells. Fuji II LC is not cyto-toxic to HPCs but cytotoxic to 3T3 cells, indicating that 3T3 cells are more vulnerable to 2-hydroxyethyl methacrylate (HEMA) than HPCs. Vitremer is very cytotoxic probably due to having diphenyliodonium chloride and HEMA in it. Z100 is very cytotoxic probably due to having triethylene glycol dimethacry-late (TEGDMA) in it. P60 is cytotoxic but less cyto-toxic than Z100 probably due to no TEGDMA in it. Durelon is the most cytotoxic among the six materials studied probably due to the high cytotoxicity of zinc ions. Additionally, the cytotoxcity of the tested mate-rials was found to be dose-dependent.