The biomechanical role of periodontal ligament in bonded and replanted vertically fractured teeth under cyclic biting forces

After teeth are replanted,there are two possible healing responses：periodontal ligament healing or ankylosis with subsequent replacement resorption.The purpose of this study was to compare the fatigue resistance of vertically fractured teeth after bonding the fragments under conditions simulating both healing modes.Thirty-two human premolars were vertically fractured and the fragments were bonded together with Super-Bond C＆B.They were then randomly distributed into four groups（BP,CP,CA,BA）.The BP and CP groups were used to investigate the periodontal ligament healing mode whilst the BA and CA groups simulated ankylosis.All teeth had root canal treatment performed.Metal crowns were constructed for the CP and CA groups.The BP and BA groups only had composite resin restorations in the access cavities.All specimens were subjected to a 260 N load at 4 Hz until failure of the bond or until 2 x 106 cycles had been reached if no fracture occurred.Cracks were detected by stereomicroscope imaging and also assessed via dye penetration tests.Finally,interfaces of the resin luting agent were examined by scanning electron microscope.The results confirmed that the fatigue resistance was higher in the groups with simulated periodontal ligament healing.Periodontal reattachment showed important biomechanical role in bonded and replanted vertically fractured teeth.

In vitro analysis of riboflavin-modified,experimental,two-step etch-and-rinse dentin adhesive:Fourier transform infrared spectroscopy and micro-Raman studies

To modify two-step experimental etch-and-rinse dentin adhesive with different concentrations of riboflavin and to study its effect on the bond strength,degree of conversion,along with resin infiltration within the demineralized dentin substrate,an experimental adhesive-system was modified with different concentrations of riboflavin（mlm,0,1%,3%,5%and 10%）.Dentin surfaces were etched with 37%phosphoric acid,bonded with respective adhesives,restored with restorative composite-resin,and sectioned into resin-dentin slabs and beams to be stored for 24 h or 9 months in artificial saliva.Micro-tensile bond testing was performed with scanning electron microscopy to analyse the failure of debonded beams.The degree of conversion was evaluated with Fourier transform infrared spectroscopy（FTIR） at different time points along with micro-Raman spectroscopy analysis.Data was analyzed with one-way and two-way analysis of variance followed by Tukey＇s for pair-wise comparison.Modification with 1%and 3%riboflavin increased the micro-tensile bond strength compared to the control at 24 h and 9-month storage with no significant differences in degree of conversion（P〈0.05）.The most predominant failure mode was the mixed fracture among all specimens except 10%riboflavin-modified adhesive specimens where cohesive failure was predominant.Raman analysis revealed that 1%and 3%riboflavin adhesives specimens showed relatively higher resin infiltration.The incorporation of riboflavin in the experimental two-step etch-and-rinse adhesive at 3%（mlm） improved the immediate bond strengths and bond durability after 9-month storage in artificial saliva without adversely affecting the degree of conversion of the adhesive monomers and resin infiltration.