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Enamel Surface (enamel + surface)
Selected AbstractsScanning Electron Microscopy Study of Dental Enamel Surface Exposed to 35% Hydrogen Peroxide: Alone, With Saliva, and With 10% Carbamide PeroxideJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2003MARIANNE SPALDING MS ABSTRACT Several vital bleaching systems have been introduced in response to the demand in esthetic dentistry. The active agents are commonly hydrogen peroxide or carbamide peroxide used in at-home or in-office techniques. Although generally positive results have been reported concerning the whitening ability of these agents, concerns still remain as to their effects on dental tissues. The purpose of this investigation was to evaluate the effect of these bleaching agents on the enamel surface morphology. Twelve extracted teeth were used according to three experimental protocols. In experimental protocol 1, specimens were treated with 35% hydrogen peroxide. In experimental protocol 2, after treatment with 35% hydrogen peroxide the specimens were immersed in natural saliva for 1 week. In experimental protocol 3, 35% hydrogen peroxide was applied once and 10% carbamide peroxide was applied for 1 week (12 h of 10% carbamide peroxide alternating with 12 h saliva). Scanning electron microscopy evaluation revealed that regional variation in tooth morphology surface sometimes exceeded the effects of the peroxide used according to experimental protocols. Thirty-five percent hydrogen peroxide had a tendency to promote an increase in density of pits. Precipitates were observed on specimen surfaces immersed in natural saliva according to protocol 2. A smooth and shiny surface was observed in specimens treated according to protocol 3. The potential relationship between surface alterations and differences in enamel permeability is currently under investigation. CLINICAL SIGNIFICANCE The differences in various articles written on the subject cannot be reconciled because of the lack of standardization of baseline data regarding factors such as location on the tooth, type of tooth, eruption or noneruption, and age in the oral cavity. This article demonstrates that, despite changes observed in the enamel surface after bleaching, normal variation in tooth morphology may exceed the effects of 35% hydrogen peroxide and 10% carbamide peroxide on the teeth. Hence, considering the morphologic features of the tooth surface, bleaching, as described in this study, can be considered safe for enamel. [source] An In Vitro Investigation of a Comparison of Bond Strengths of Composite to Etched and Air-Abraded Human Enamel SurfacesJOURNAL OF PROSTHODONTICS, Issue 1 2006G.B. Gray BDS Purpose: The purposes of the study were to measure the tensile bond strength of composite resin to human enamel specimens that had been either etched or air-abraded, and to compare the quality of the marginal seal, through the assessment of microleakage, of composite resin to human enamel specimens that had been either etched or air-abraded. Materials and Methods: Thirty mandibular molar teeth were decoronated and sectioned mesio-distally to produce six groups, each containing ten specimens that were embedded in acrylic resin using a jig. In each of the four treatment groups, the specimen surfaces were treated by either abrasion with 27 or 50 ,m alumina at 4 mm or 20 mm distance, and a composite resin was bonded to the treated surfaces in a standardized manner. In the two control groups the specimens were treated with 15 seconds exposure to 36% phosphoric acid gel and then similarly treated before being stored in sterile water for 1 week. All specimens were then subjected to tensile bond strength testing at either 1 or 5 mm/min crosshead speed. For the microleakage study, the degree of dye penetration was measured 32 times for each treatment group, using a neutral methylene blue dye at the interface between composite and either 27 or 50 ,m air-abraded tooth structure or etched enamel surfaces. Results: The mean bond strength values recorded for Group 1 (phosphoric acid etch, 5 mm/min crosshead speed) was 25.4 MPa; Group 2 (phosphoric acid etch, 1 mm/min), 22.2 MPa; Group 3 (27 ,m alumina at 4 mm distance), 16.8 MPa; Group 4 (50 ,m alumina at 4 mm distance), 16.9 MPa; Group 5 (27 ,m alumina at 20 mm distance), 4.2 MPa; and for Group 6 (50 ,m alumina at 20 mm distance) 3.4 MPa. An analysis of variance (ANOVA) demonstrated significant differences among the groups, and a multiple comparison test (Tukey) demonstrated that conventionally etched specimens had a greater bond strength than air-abraded specimen groups. No significant difference in dye penetration could be demonstrated among the groups (p= 0.58). Conclusions: Composite resin applied to enamel surfaces prepared using an acid etch procedure exhibited higher bond strengths than those prepared with air abrasion technology. The abrasion particle size did not affect the bond strength produced, but the latter was adversely affected by the distance of the air abrasion nozzle from the enamel surface. The crosshead speed of the bond testing apparatus had no effect on the bond strengths recorded. The marginal seal of composite to prepared enamel was unaffected by the method of enamel preparation. [source] Enamel microhardness and bond strengths of self-etching primer adhesivesEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 2 2010Olabisi A. Adebayo Adebayo OA, Burrow MF, Tyas MJ, Adams GG, Collins ML. Enamel microhardness and bond strengths of self-etching primer adhesives. Eur J Oral Sci 2010; 118: 191,196. © 2010 The Authors. Journal compilation © 2010 Eur J Oral Sci The aim of this study was to determine the relationship between enamel surface microhardness and microshear bond strength (,SBS). Buccal and lingual mid-coronal enamel sections were prepared from 22 permanent human molars and divided into two groups, each comprising the buccal and lingual enamel from 11 teeth, to analyze two self-etching primer adhesives (Clearfil SE Bond and Tokuyama Bond Force). One-half of each enamel surface was tested using the Vickers hardness test with 10 indentations at 1 N and a 15-s dwell time. A hybrid resin composite was bonded to the other half of the enamel surface with the adhesive system assigned to the group. After 24 h of water storage of specimens at 37º°C, the ,SBS test was carried out on a universal testing machine at a crosshead speed of 1 mm min,1 until bond failure occurred. The mean ,SBS was regressed on the mean Vickers hardness number (VHN) using a weighted regression analysis in order to explore the relationship between enamel hardness and ,SBS. The weights used were the inverse of the variance of the ,SBS means. Neither separate correlation analyses for each adhesive nor combined regression analyses showed a significant correlation between the VHN and the ,SBS. These results suggest that the ,SBS of the self-etch adhesive systems are not influenced by enamel surface microhardness. [source] Oral bacterial adhesion forces to biomaterial surfaces constituting the bracket,adhesive,enamel junction in orthodontic treatmentEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 4 2009Li Mei Bacterial adhesion to biomaterial surfaces constituting the bracket,adhesive,enamel junction represents a growing problem in orthodontics, because bacteria can adversely affect treatment by causing demineralization of the enamel surface around the brackets. It is important to know the forces with which bacteria adhere to the surfaces of these junction materials, as the strength of these forces will determine how easy it will be to remove the bacteria. We compared the adhesion forces of five initially colonizing and four cariogenic strains of bacteria to an orthodontic adhesive, stainless steel, and enamel, with and without a salivary conditioning film. Adhesion forces were determined using atomic force microscopy and a bacterial probe. In the absence of a salivary conditioning film, the strongest bacterial adhesion forces occurred to the adhesive surface (,2.9 to ,6.9 nN), while adhesion forces to the enamel surfaces were lowest (,0.8 to ,2.7 nN). In the presence of a salivary conditioning film, adhesion forces were reduced strongly, to less than 1 nN, and the differences between the various materials were reduced. Generally, however, initial colonizers of dental hard surfaces presented stronger adhesion forces to the different materials (,4.7 and ,0.6 nN in the absence and presence of a salivary conditioning film, respectively) than cariogenic strains (,1.8 and ,0.5 nN). [source] Approximal caries development in surfaces in contact with fluoride-releasing and non-fluoride-releasing restorative materials: an in situ studyEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 6 2007Áine M. Lennon This study investigated the effect of compomer on initial interproximal caries development. One-hundred and sixty cylindrical, and 40 semispherical, bovine enamel samples (control) were prepared, polished, and sterilized. Sixty semicircular samples were prepared from each of the compomer Dyract eXtra and the fluoride-free composite Spectrum TPH. Samples were stored in water and fluoridated twice daily for 28 d. A baseline quantitative light fluorescence (QLF) image was made of each cylindrical sample. Twenty volunteers received intra-oral appliances with eight sample chambers. Each wing contained 1 control sample and either 3 Dyract eXtra or 3 Spectrum TPH samples in contact with the enamel surface of a cylindrical enamel sample. Appliances were worn for 24 h a day for 28 d except during toothbrushing (twice daily) and placement in 10% sucrose solution (five times daily). A final QLF image was made after 28 d. Caries development was analyzed as the lesion area × mean fluorescence loss (,Q % mm2) between these and the baseline images using QLF subtract software. The median ,Q was significantly lower in the Dyract eXtra group (,6.1% mm2) than in the Spectrum TPH (,13.9% mm2, P , 0.001) or control (,11.4% mm2, P = 0.03) groups. Teeth in contact with the compomer developed less caries compared with controls. [source] Short exposure to high levels of fluoride induces stage-dependent structural changes in ameloblasts and enamel mineralizationEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 2006D. M. Lyaruu We tested the hypothesis that the sensitivity of forming dental enamel to fluoride (F,) is ameloblast developmental stage-dependent and that enamel mineralization disturbances at the surface of fluorotic enamel are caused by damage to late-secretory- and transitional-stage ameloblasts. Four-day-old hamsters received a single intraperitoneal dose of 2.5,20 mg NaF/kg body weight and were examined, 24 h later, by histology and histochemistry. A single dose of ,,5 mg of NaF/kg induced the formation of a hyper- followed by a hypomineralized band in the secretory enamel, without changing the ameloblast structure. At 10 mg of NaF/kg, cystic lesions became apparent under isolated populations of distorted late-secretory- and transitional-stage ameloblasts. Staining with von Kossa stain showed that the enamel under these lesions was hypermineralized. At 20 mg of NaF/kg, cystic lesions containing necrotic cells were also found in the early stages of secretory amelogenesis and were also accompanied with hypermineralization of the enamel surface. We concluded that the sensitivity to F, is ameloblast developmental stage-dependent. Groups of transitional ameloblasts are most sensitive, followed by those at early secretory stages. These data suggest that a F-induced increase in cell death in the transitional-stage ameloblasts accompanies the formation of cystic lesions, which may explain the formation of enamel pits seen clinically in erupted teeth. [source] On the origin of intrinsic matrix of acellular extrinsic fiber cementum: Studies on growing cementum pearls of normal and bisphosphonate-affected guinea pig molarsEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 3 2002Chantha K. Jayawardena Cementum pearls (CPs) belong to a type of acellular extrinsic fiber cementum (AEFC) that form on the maturing enamel of guinea pig molars. This study aimed to elucidate the forming process of intrinsic matrix of AEFC using the CPs of normal and bisphosphonate-affected guinea pig molars as experimental models. A group of guinea pigs were subjected to continuous administration of 1-hydroxyethylidene-1,1-bisphosphonate (HEBP) for 2 wk to inhibit mineralization of growing CPs. Fenestration of the enamel organ and migration of periodontal cells on to the exposed surface of maturing enamel appeared to be unaffected by HEBP, whereas de novo formation as well as growth of pre-existing CPs did not proceed under the same conditions. Immunoreactions for osteopontin were located exclusively on the mineralized matrix of preformed CPs, implying the absence of additional deposition or accumulation of putative intrinsic cementum matrix on the affected CPs, where the propagation of mineral phase had been arrested. In both normal and HEBP-treated groups, distinct enzymatic reactions for alkaline phosphatase appeared on the cells of the periodontal ligament associated closely with the sites of CP formation, and along the mineralization front of CPs. These observations suggest that the mineralization process per se plays a central role in the deposition of AEFC matrix and that alkaline phosphatase of periodontal cells penetrating through the enamel organ to the maturing enamel surface plays a key role in the mineralization process of CPs. [source] The Influence of Time Interval between Bleaching and Enamel BondingJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2007Jéfferson Da Silva Machado dds ABSTRACT Objectives:, The purpose of this study was to investigate the penetration of a conventional adhesive material into enamel bleached with 16% carbamide peroxide and 38% hydrogen peroxide using optical light microscopy. Methods:, Extracted human teeth were randomly divided into eight experimental groups with six specimens each, according to the bleaching material and time interval after bleaching and before the bonding procedure. Groups were designated as follows: control group, restorations in unbleached teeth; restorations performed immediately after bleaching; restorations performed 7 days after bleaching; restorations performed 14 days after bleaching; and restorations performed 30 days after bleaching. The length of resin tags was measured with an Axiophot photomicroscope at 400× magnification for the calculation of the proportion of tags of study groups compared to the respective control groups. Analysis of variance was applied for comparison between groups; data were transformed into arcsine (p < 0.05). Results:, The specimens of experimental groups, in which restorations were performed 7, 14, and 30 days after bleaching, showed better penetration of adhesive material into enamel than specimens restored immediately after bleaching. There was no statistically significant difference between the bleaching materials employed or in the interaction between bleaching agent and time interval. Conclusions:, This suggests that a time interval of at least 7 days should be allowed between enamel bleaching and placement of adhesive bonding agents for accomplishment of composite resin restorations. CLINICAL SIGNIFICANCE Establishment of adequate time after bleaching is fundamental to allow the normal penetration of a one-bottle conventional adhesive onto the enamel surface. [source] Shear Bond Strength of Enamel Treated with Seven Carbamide Peroxide Bleaching AgentsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 4 2004ROBERTA TARKAN. ABSTRACT Purpose:: Lower average values of bond strength of adhesive systems to enamel bleached with 10% carbamide peroxide agents have been reported, but the effects of higher concentrations of carbamide peroxide bleaching agents are still unknown. The aim of this in vitro study was to evaluate the shear bond strength of enamel treated with different concentrations of carbamide peroxide to an adhesive system after a postbleaching period of storage in artificial saliva for 15 days. Materials and Methods: Seven carbamide peroxide bleaching agents with concentrations varying from 10 to 22% were analyzed. A placebo agent was used as a control group. The agents were applied on the enamel fragments for 8 h/d for 42 days. During the remaining time, the specimens were stored in artificial saliva. After that time, the fragments were stored individually in artificial saliva for 15 days. An adhesive system was used to bond resin-based composite cylinders on the enamel surface. Shear bond strength tests were performed and the fractured surfaces of the specimens were visually examined with a stereomicroscope at ×30. Results: The analysis of variance did not show differences in shear bond strength among the treatment agents. The fractures for all treatment agents were predominantly adhesive. Conclusion: After 15 days storage in artificial saliva, different concentrations of carbamide peroxide bleaching agents and a placebo agent had the same enamel shear bond strength values. [source] Scanning Electron Microscopy Study of Dental Enamel Surface Exposed to 35% Hydrogen Peroxide: Alone, With Saliva, and With 10% Carbamide PeroxideJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2003MARIANNE SPALDING MS ABSTRACT Several vital bleaching systems have been introduced in response to the demand in esthetic dentistry. The active agents are commonly hydrogen peroxide or carbamide peroxide used in at-home or in-office techniques. Although generally positive results have been reported concerning the whitening ability of these agents, concerns still remain as to their effects on dental tissues. The purpose of this investigation was to evaluate the effect of these bleaching agents on the enamel surface morphology. Twelve extracted teeth were used according to three experimental protocols. In experimental protocol 1, specimens were treated with 35% hydrogen peroxide. In experimental protocol 2, after treatment with 35% hydrogen peroxide the specimens were immersed in natural saliva for 1 week. In experimental protocol 3, 35% hydrogen peroxide was applied once and 10% carbamide peroxide was applied for 1 week (12 h of 10% carbamide peroxide alternating with 12 h saliva). Scanning electron microscopy evaluation revealed that regional variation in tooth morphology surface sometimes exceeded the effects of the peroxide used according to experimental protocols. Thirty-five percent hydrogen peroxide had a tendency to promote an increase in density of pits. Precipitates were observed on specimen surfaces immersed in natural saliva according to protocol 2. A smooth and shiny surface was observed in specimens treated according to protocol 3. The potential relationship between surface alterations and differences in enamel permeability is currently under investigation. CLINICAL SIGNIFICANCE The differences in various articles written on the subject cannot be reconciled because of the lack of standardization of baseline data regarding factors such as location on the tooth, type of tooth, eruption or noneruption, and age in the oral cavity. This article demonstrates that, despite changes observed in the enamel surface after bleaching, normal variation in tooth morphology may exceed the effects of 35% hydrogen peroxide and 10% carbamide peroxide on the teeth. Hence, considering the morphologic features of the tooth surface, bleaching, as described in this study, can be considered safe for enamel. [source] Involvement of laminin and integrins in adhesion and migration of junctional epithelium cellsJOURNAL OF PERIODONTAL RESEARCH, Issue 1 2009T. Kinumatsu Background and Objective:, The junctional epithelium attaches to the enamel surface with hemidesmosomes (of which laminin-5 and integrin-,6,4 are the main components) in the internal basal lamina. Laminin-5 is also involved in cell motility with integrin-,3,1, although their functions have not yet been clarified. The purpose of this study was to determine the functions of those adhesive components between the tooth and the junctional epithelium during cell migration. Because an idea has been proposed that directly attached to tooth cells (DAT cells) may not contribute to cell migration, 5-bromo-2-deoxyuridine staining was performed to confirm cell migration. Material and Methods:, We investigated laminin-,2 (contained only in laminin-5), integrin-,4 (involved in cell,extracellular matrix contact) and integrin-,3 (inducing cell migration) in the junctional epithelium, oral gingival epithelium and gingival sulcus epithelium of 6-wk-old ICR mice using laser microdissection, quantitative real-time reverse transcription-polymerase chain reaction, immunofluorescence and 5-bromo-2-deoxyuridine staining. Results:, Laminin and integrins were clearly immunolocalized in the basal lamina of all epithelium. Quantitative analysis of laminin and integrin mRNAs by laser microdissection showed that they were more highly expressed in DAT cells than in basal cells in the oral gingival epithelium. In particular, a 12-fold higher expression of laminin-5 was observed in the junctional epithelium compared with the oral gingival epithelium. 5-Bromo-2-deoxyuridine staining showed rapid coronal migration of DAT cells. Conclusion:, These results suggest that the abundant expression of laminin-5 and integrin-,6,4 is involved in the attachment of DAT cells to teeth by hemidesmosomes. Abundant expression of laminin-5 and integrin-,3,1 might assist in DAT cell migration, confirmed by 5-bromo-2-deoxyuridine staining during the turnover of junctional epithelium. [source] An In Vitro Investigation of a Comparison of Bond Strengths of Composite to Etched and Air-Abraded Human Enamel SurfacesJOURNAL OF PROSTHODONTICS, Issue 1 2006G.B. Gray BDS Purpose: The purposes of the study were to measure the tensile bond strength of composite resin to human enamel specimens that had been either etched or air-abraded, and to compare the quality of the marginal seal, through the assessment of microleakage, of composite resin to human enamel specimens that had been either etched or air-abraded. Materials and Methods: Thirty mandibular molar teeth were decoronated and sectioned mesio-distally to produce six groups, each containing ten specimens that were embedded in acrylic resin using a jig. In each of the four treatment groups, the specimen surfaces were treated by either abrasion with 27 or 50 ,m alumina at 4 mm or 20 mm distance, and a composite resin was bonded to the treated surfaces in a standardized manner. In the two control groups the specimens were treated with 15 seconds exposure to 36% phosphoric acid gel and then similarly treated before being stored in sterile water for 1 week. All specimens were then subjected to tensile bond strength testing at either 1 or 5 mm/min crosshead speed. For the microleakage study, the degree of dye penetration was measured 32 times for each treatment group, using a neutral methylene blue dye at the interface between composite and either 27 or 50 ,m air-abraded tooth structure or etched enamel surfaces. Results: The mean bond strength values recorded for Group 1 (phosphoric acid etch, 5 mm/min crosshead speed) was 25.4 MPa; Group 2 (phosphoric acid etch, 1 mm/min), 22.2 MPa; Group 3 (27 ,m alumina at 4 mm distance), 16.8 MPa; Group 4 (50 ,m alumina at 4 mm distance), 16.9 MPa; Group 5 (27 ,m alumina at 20 mm distance), 4.2 MPa; and for Group 6 (50 ,m alumina at 20 mm distance) 3.4 MPa. An analysis of variance (ANOVA) demonstrated significant differences among the groups, and a multiple comparison test (Tukey) demonstrated that conventionally etched specimens had a greater bond strength than air-abraded specimen groups. No significant difference in dye penetration could be demonstrated among the groups (p= 0.58). Conclusions: Composite resin applied to enamel surfaces prepared using an acid etch procedure exhibited higher bond strengths than those prepared with air abrasion technology. The abrasion particle size did not affect the bond strength produced, but the latter was adversely affected by the distance of the air abrasion nozzle from the enamel surface. The crosshead speed of the bond testing apparatus had no effect on the bond strengths recorded. The marginal seal of composite to prepared enamel was unaffected by the method of enamel preparation. [source] Development of the dentition: four-dimensional visualization and open questions concerning the morphogenesis of tooth form and occlusionORTHODONTICS & CRANIOFACIAL RESEARCH, Issue 2003RJ Radlanski Structured Abstract Author, Radlanski RJ Objectives , The formation of the dental primordial should be visualized with special reference to characteristic differences for each single primordium. Until today, it has not been clear how traffic of the ameloblasts is controlled, how the folding pattern of the occlusal relief is generated or how the enamel production is terminated at the enamel surface. Design , Using computer-aided reconstructions from histological serial sections, the dental primordial were visualized and, using fractured enamel specimens, the traces of each single ameloblast were followed by means of scanning electron microscopy. In this way, the developmental movements of the inner enamel epithelium can be reconstructed. Results , Gathering morphological knowledge, three-dimensional polygon sets of shape data were input into a computer workstation and animated by means of the software Soft Image (Microsoft). Conclusions , The development of the human primary and permanent dentition was animated to simulate growth. [source] Brief communication: Contributions of enamel-dentine junction shape and enamel deposition to primate molar crown complexityAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 1 2010Matthew M. Skinner Abstract Molar crown morphology varies among primates from relatively simple in some taxa to more complex in others, with such variability having both functional and taxonomic significance. In addition to the primary cusps, crown surface complexity derives from the presence of crests, cuspules, and crenulations. Developmentally, this complexity results from the deposition of an enamel cap over a basement membrane (the morphology of which is preserved as the enamel-dentine junction, or EDJ, in fully formed teeth). However, the relative contribution of the enamel cap and the EDJ to molar crown complexity is poorly characterized. In this study we examine the complexity of the EDJ and enamel surface of a broad sample of primate (including fossil hominin) lower molars through the application of micro-computed tomography and dental topographic analysis. Surface complexity of the EDJ and outer enamel surface (OES) is quantified by first mapping, and then summing, the total number of discrete surface orientation patches. We investigate the relative contribution of the EDJ and enamel cap to crown complexity by assessing the correlation in patch counts between the EDJ and OES within taxa and within individual teeth. We identify three patterns of EDJ/OES complexity which demonstrate that both crown patterning early in development and the subsequent deposition of the enamel cap contribute to overall crown complexity in primates. Am J Phys Anthropol, 2010. © 2010 Wiley-Liss, Inc. [source] Technical note: A new three-dimensional technique for high resolution quantitative recording of perikymataAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 3 2010E. Bocaege Abstract The number and spacing of incremental markings at the enamel surface, known as perikymata, are considered important indicators of dental growth patterns, as they provide information on crown formation times and the underlying developmental processes. This study explores the potential of a new three-dimensional technique for the reconstruction of dental growth profiles, using teeth from a medieval child from Abingdon, Oxfordshire. The crowns of three anterior teeth were imaged and analyzed using the Alicona 3D InfiniteFocus imaging microscope. Individual perikyma grooves can be unambiguously identified on a profile of the reconstructed enamel surface and direct distances between successive pairs of perikyma grooves can be calculated from coordinate data. This quantitative approach constitutes a more objective way to record perikymata spacing than current methods. Am J Phys Anthropol 2010. © 2009 Wiley-Liss, Inc. [source] In vivo effects of amorphous calcium phosphate-containing orthodontic composite on enamel demineralization around orthodontic bracketsAUSTRALIAN DENTAL JOURNAL, Issue 3 2010T Uysal Abstract Background:, The aim of this study was to evaluate the in vivo effects of an amorphous calcium phosphate-containing orthodontic composite in reducing enamel demineralization around orthodontic brackets, and to compare it with the control. Methods:, Fourteen orthodontic patients were divided into two equal groups. They received brackets fitted to all first premolars, bonded with either Aegis Ortho® (The Bosworth Co.), an ACP-containing orthodontic composite (experimental group), or Concise® (3M Dental Products), a resin-based orthodontic composite (control group). After 30 days, the teeth were extracted and longitudinally sectioned, and evaluated by superficial-microhardness analysis. The determinations were made at the bracket edge cementing limits and at occlusal and cervical points 100 and 200 ,m away from the edge. In all of these positions, indentations were made at depths of 10, 20, 30, 50, 70, and 90 ,m from the enamel surface. Analysis of variance (ANOVA) and Tukey post hoc test was used. The statistical significance level was set at p <0.05. Results:, The ANOVA showed statistically significant differences for position, material, depth, and their interactions (p <0.001). The multiple comparison test showed that the ACP-containing orthodontic composite was significantly more efficient than the control composite, reducing enamel demineralization in almost all evaluations (p <0.001). Conclusions:, Present results indicated that ACP-containing orthodontic composite for bonding orthodontic brackets successfully inhibited demineralization in vivo. This effect was localized to the area around the brackets and was statistically significant after 30 days. [source] Ultrastructural study of tissues surrounding replanted teeth and dental implantsCLINICAL ORAL IMPLANTS RESEARCH, Issue 3 2009Kazuhiro Shioya Abstract Objectives: The aim of this study was to describe the ultrastructure of the dentogingival border at replanted teeth and implants. Material and methods: Wistar rats (8 weeks old) were divided into groups for replantation and implantation experiments. In the former, the upper right first molars were extracted and then immediately replanted. In the latter, pure titanium implants were used. All tissues were fixed, demineralized and embedded in epoxy resin for ultrastructural observations. Results: One week after replantation, the junctional epithelium was lost, and the oral sulcular epithelium covered the enamel surface. The amount of the epithelium increased in 2 weeks, and resembled the junctional epithelium, and the internal basal lamina and hemidesmosomes were formed in 4 weeks. One week after implantation, peri-implant epithelium was formed, and in 2 and 4 weeks, this epithelium with aggregated connective tissue cells were observed. In 8 weeks, the peri-implant epithelium receded, and aligned special cells with surrounding elongated fibroblasts and bundles of collagen fibers appeared to seal the implant interface. Conclusion: In replantation of the tooth, the internal basal lamina remained at the surface of the enamel of the replanted tooth, which is likely to be related to regeneration of the junctional epithelium and the attachment apparatus at the epithelium,tooth interface. Following implantation, a layer of cells with characteristics of connective tissue cells, but no junctional epithelium and attachment apparatus, was formed to seal the site of the implant. [source] Oral bacterial adhesion forces to biomaterial surfaces constituting the bracket,adhesive,enamel junction in orthodontic treatmentEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 4 2009Li Mei Bacterial adhesion to biomaterial surfaces constituting the bracket,adhesive,enamel junction represents a growing problem in orthodontics, because bacteria can adversely affect treatment by causing demineralization of the enamel surface around the brackets. It is important to know the forces with which bacteria adhere to the surfaces of these junction materials, as the strength of these forces will determine how easy it will be to remove the bacteria. We compared the adhesion forces of five initially colonizing and four cariogenic strains of bacteria to an orthodontic adhesive, stainless steel, and enamel, with and without a salivary conditioning film. Adhesion forces were determined using atomic force microscopy and a bacterial probe. In the absence of a salivary conditioning film, the strongest bacterial adhesion forces occurred to the adhesive surface (,2.9 to ,6.9 nN), while adhesion forces to the enamel surfaces were lowest (,0.8 to ,2.7 nN). In the presence of a salivary conditioning film, adhesion forces were reduced strongly, to less than 1 nN, and the differences between the various materials were reduced. Generally, however, initial colonizers of dental hard surfaces presented stronger adhesion forces to the different materials (,4.7 and ,0.6 nN in the absence and presence of a salivary conditioning film, respectively) than cariogenic strains (,1.8 and ,0.5 nN). [source] Micro-shear bond strengths and etching efficacy of a two-step self-etching adhesive system to fluorosed and non-fluorosed enamelEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 2 2009Kanako Shida The purpose of this study was to evaluate the micro-shear bond strengths and the etching efficacy of a two-step self-etching adhesive system to fluorosed and non-fluorosed enamel. The extracted teeth, obtained from Australian and Japanese patients, were classified according to the severity of fluorosis, using the Thylstrup & Fejerskov index (TFI). Australian teeth were classified as mildly fluorosed (TFI = 1,3), whereas Japanese teeth were classified as non-fluorosed (TFI = 0). Resin composite was bonded to 20 enamel samples using Clearfil SE bond. The bonded samples were stressed at a crosshead speed of 1 mm min,1 to determine the micro-shear bond strength. To examine the etching efficacy of primer on fluorosed and non-fluorosed enamel, the enamel-surface pH values were directly measured using a micro pH sensor. The non-fluorosed enamel showed significantly higher bond strengths compared with the fluorosed enamel. There was a statistical difference between fluorosed and non-fluorosed enamel regarding the surface pH change before and after application of the Clearfil SE bond primer. The results from this study suggest that water fluoridation has an effect on the acid resistance of enamel surfaces when treated with a two-step self-etching adhesive system and that this effect leads to reduced bond strengths. [source] Enamel dissolution in citric acid as a function of calcium and phosphate concentrations and degree of saturation with respect to hydroxyapatiteEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 5 2003Michele E. Barbour The aim of this study was to investigate enamel dissolution in citric acid solutions as a function of solution calcium and phosphate concentrations and degree of saturation with respect to hydroxyapatite (DSHA). The primary relevance of the study is the development of soft drinks with reduced erosive potential. Nanoindentation was used to investigate changes in the hardness of polished human enamel surfaces after 120 s and 300 s exposure to solutions with pH 3.30 and a range of calcium and phosphate concentrations. All solutions were undersaturated with respect to hydroxyapatite, with 0.000 , DSHA , 0.295. A complex dependence of enamel softening on calcium concentration was observed. Substantial enamel softening occurred in solutions with calcium concentrations equal to or less than 120 mm (DSHA , 0.104), but there was little or no statistically significant softening of the enamel for calcium concentrations over 120 mm. This condition may be applicable to soft drink formulation. Furthermore, solutions with DSHA = 0.101 and different calcium/phosphate ratios resulted in different degrees of softening of the enamel. Hence, contrary to assumptions made in many models, enamel dissolution is not simply a function of DSHA, and individual calcium and phosphate concentrations are critical. [source] Human enamel dissolution in citric acid as a function of pH in the range 2.30,pH,6.30 , a nanoindentation studyEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 3 2003Michele E. Barbour The objective of this study was to investigate the dissolution of human enamel in citric acid solutions over a wide range of pH. The in vitro conditions are considered to be relevant to soft drink-induced enamel erosion. Nanoindentation was used to investigate changes in the nanomechanical properties of polished enamel surfaces after exposure to citric acid solutions. Solutions used had 38.1 mmol l,1 citric acid and pH greater than 2.3 but less than 6.3 (2.30 pH 6.30). Samples were exposed to rapidly stirred, constant composition solutions for 120 s. Statistically significant changes in enamel hardness and reduced elastic modulus were observed after exposure to all solutions. There was an approximately linear dependence of enamel hardness on solution pH for 2.90 pH 6.30. Below pH 2.90, enamel is thought to have reached the lowest possible hardness value. The reduction in enamel dissolution caused by an increase in pH of a soft drink is likely to be small. Product modification to reduce the erosive potential of drinks may require additional methods such as addition of calcium salts. [source] Appositional enamel growth in molars of South African fossil hominidsJOURNAL OF ANATOMY, Issue 1 2006Rodrigo S. Lacruz Abstract Enamel is formed incrementally by the secretory activity of ameloblast cells. Variable stages of secretion result in the formation of structures known as cross striations along enamel prisms, for which experimental data demonstrate a correspondence with daily periods of secretion. Patterns of variation in this daily growth are important to understanding mechanisms of tooth formation and the development of enamel thickness. Transmitted light microscopy (TLM) of histological ground sections and scanning electron microscopy (SEM) of bulk specimens or their surface replicas are the usual methods for investigating cross striations. However, these methods pose some constraints on the study of these features in Plio-Pleistocene hominid enamel, the specimens of which may only rarely be sectioned for TLM or examined on only their most superficial surfaces for SEM. The recent development of portable confocal scanning optical microscopy (PCSOM) resolves some of the restrictions on fractured enamel surfaces, allowing the visualization of cross striations by direct examination. This technology has been applied here to the study of Australopithecus africanus and Paranthropus robustus hominid molars from the Plio-Pleistocene of South Africa. We hypothesize that these taxa have increased enamel appositional rates compared with modern humans, because despite having thicker enamelled molars (particularly P. robustus), the enamel crowns of these fossil taxa take an equivalent or reduced amount of time to form. Cross striations were measured in cuspal, lateral and cervical regions of the enamel crowns, and, within each region, the inner, middle and outer zones. Values obtained for A. africanus outer zones of the enamel crown are, in general, lower than those for P. robustus, indicating faster forming enamel in the latter, while both taxa show higher rates of enamel growth than modern humans and the African great apes. This demonstrates a relatively high degree of variability in the mechanisms underlying the development of enamel across taxa. [source] An In Vitro Investigation of a Comparison of Bond Strengths of Composite to Etched and Air-Abraded Human Enamel SurfacesJOURNAL OF PROSTHODONTICS, Issue 1 2006G.B. Gray BDS Purpose: The purposes of the study were to measure the tensile bond strength of composite resin to human enamel specimens that had been either etched or air-abraded, and to compare the quality of the marginal seal, through the assessment of microleakage, of composite resin to human enamel specimens that had been either etched or air-abraded. Materials and Methods: Thirty mandibular molar teeth were decoronated and sectioned mesio-distally to produce six groups, each containing ten specimens that were embedded in acrylic resin using a jig. In each of the four treatment groups, the specimen surfaces were treated by either abrasion with 27 or 50 ,m alumina at 4 mm or 20 mm distance, and a composite resin was bonded to the treated surfaces in a standardized manner. In the two control groups the specimens were treated with 15 seconds exposure to 36% phosphoric acid gel and then similarly treated before being stored in sterile water for 1 week. All specimens were then subjected to tensile bond strength testing at either 1 or 5 mm/min crosshead speed. For the microleakage study, the degree of dye penetration was measured 32 times for each treatment group, using a neutral methylene blue dye at the interface between composite and either 27 or 50 ,m air-abraded tooth structure or etched enamel surfaces. Results: The mean bond strength values recorded for Group 1 (phosphoric acid etch, 5 mm/min crosshead speed) was 25.4 MPa; Group 2 (phosphoric acid etch, 1 mm/min), 22.2 MPa; Group 3 (27 ,m alumina at 4 mm distance), 16.8 MPa; Group 4 (50 ,m alumina at 4 mm distance), 16.9 MPa; Group 5 (27 ,m alumina at 20 mm distance), 4.2 MPa; and for Group 6 (50 ,m alumina at 20 mm distance) 3.4 MPa. An analysis of variance (ANOVA) demonstrated significant differences among the groups, and a multiple comparison test (Tukey) demonstrated that conventionally etched specimens had a greater bond strength than air-abraded specimen groups. No significant difference in dye penetration could be demonstrated among the groups (p= 0.58). Conclusions: Composite resin applied to enamel surfaces prepared using an acid etch procedure exhibited higher bond strengths than those prepared with air abrasion technology. The abrasion particle size did not affect the bond strength produced, but the latter was adversely affected by the distance of the air abrasion nozzle from the enamel surface. The crosshead speed of the bond testing apparatus had no effect on the bond strengths recorded. The marginal seal of composite to prepared enamel was unaffected by the method of enamel preparation. [source] Comparative analysis of dental enamel polyvinylsiloxane impression and polyurethane casting methods for SEM researchMICROSCOPY RESEARCH AND TECHNIQUE, Issue 4 2006Jordi Galbany Abstract Dental casting is a very common procedure for making high-quality replicas of paleo-anthropological remains. Replicas are frequently used, instead of original remains, to study both fossil and extant Primate teeth in morphological and metrical analyses. Several commercial products can be used in molds. This study analyzed SEM image resolution and enamel surface feature definition of tooth molds at various magnification levels and obtained, with both Coltène® and 3MTM low-viscosity body polyvinylsiloxane impression, materials and polyurethane casts. Results, through comparison with the original teeth, show that both the negative molds and the positive casts are highly reliable in replicating enamel surfaces. However, positive cast quality is optimal for SEM observation only till the fourth consecutive replica from the original mold, especially at high SEM magnification levels. Microsc. Res. Tech 69:246,252, 2006. © 2006 Wiley-Liss, Inc. [source] | |||||||||||||