The objective of this study was to determine the effect of selected surface treatments on the surface texture of a feldspathic porcelain. The three different etchant treatments were, acidulated phosphate fluoride (APF) applied for 10 min and hydrofluoric acid (HF) applied for 1 and 4 min. After acid treatment, half of the specimens from each group were cleansed with water and others were subjected to ultrasonic cleaning and then dried. Half of the specimens cleansed with two different methods were treated with silane. Scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS) were used to characterize the effects of such treatments. Etching with APF displays shallow patterns. Etching for 1 min with HF displays deep channels, pores and precipitates on the surface and as the etching time increased these channels were replaced by larger channels. EDS analyses show that the crystalline precipitates on the etched surfaces, which were not readily soluble in water, were the reaction products of Na, K, Ca, Al, etc. HF displayed a more roughened surface than the APF gel. However, the precipitates remain on the surface after acid application, they can only be removed by ultrasonic cleaning and cannot be removed by rinsing.

The fracture resistance values of endodontically treated teeth restored with either bulk fill/bulk fill flowable or fiber-reinforced composite were not different from those restored with conventional nanohybrid resin composite.

Developing porcelain manufacturing technology provides lower fusing porcelains to avoid thermal stresses in metal substructure, particularly for titanium and gold alloys. So far, aesthetic properties of low fusing ceramics have not been well documented. The purpose of this study was, therefore, to estimate the long-term colour stability of low fusing ceramics by using an accelerated aging procedure. Four different ceramics (Vita Omega 900, Vita Titankeramik, Ceramco Finesse, Ceramco II) were used. Porcelain samples 11 +/- 0.5 mm in diameter and 1.4 +/- 0.2 mm in thickness were prepared in three commonly used shades to provide 10 samples of each group. The samples were fired in accordance with the recommendations of the manufacturers. CIE Lab readings were recorded with a spectrophotometer prior to experiments and after a 100 h accelerated aging. The results revealed that only Ceramco Finesse porcelain had a colour change (DeltaE > 1) that is noticeable by human eye. When the shades of porcelains were compared, C3 had greater colour change compared with A3 and B3 shades (P < 0.05).

In this study, 18 basketball players (11 female, seven male; age range 14-32 years) with temporomandibular joint (TMJ) problems who had a history of sport injuries related to head or jaw region were evaluated and the results of the treatment were presented. A standardized functional examination of the masticatory system was performed including measurement of maximal jaw movements, recording of joint sounds, pain on movement of the jaw as well as tenderness to palpation of the both TMJ or masticatory muscles. Patients were also evaluated periodontally. Diagnosis was made according the criteria, described by Okeson, and appropriate treatment was applied using different kind of splints. At the end of treatment only one patient continued with right TMJ reduction with slight pain. Except for that patient, none of the patients had pain after treatment. The maximum opening of the jaws and the maximal jaw movements were statistically increased after treatment. Patients with TMJ problems also showed periodontal problems, most likely due to inadequate oral hygiene because of the limited jaw movements and pain. Periodontal parameters including probing depth (PD), Plaque index (PI), and Sulcus Bleeding Index (SBI) improved after treatment. Sports-related TMJ injuries may result in complex problems such as pain, TMJ sounds, limitation in maximal jaw movements and maximum opening of the mouth, difficulty in chewing. With the appropriate diagnosis this could be treated non-surgically in 6-8 months. This study also showed that the TMJ disorders may cause periodontal problems, which may affect all teeth and also the general health of the athlete.

Objective: Calcium silicate-based cements (CSCs) may lead to coronal staining in young permanent teeth over the time. The purpose of this study was to evaluate and compare the long-term tooth discoloration induced by different CSCs. Study Design: Ninety freshly-extracted human molars were assigned randomly into 6 groups (n=15/group) according to the CSC used as a pulpotomy material: ProRoot MTA, MTA Angelus, NeoMTA, EndoSequence Putty, Biodentine and Negative control (No cement). The color was assessed at baseline, and thereafter at 3, 6, 12 and 24 months by using both a spectrophotometer and digital images taken with and without a cross-polarizing filter. The time-dependent changes in color (ΔE) were compared within and among groups using Analysis of Variance. Results: Angelus MTA and ProRooT MTA showed severe coronal discoloration (p&gt;0.05) starting at 3 months. ΔE values of NeoMTA, EndoSequence Bioceramic Putty and Biodentine were below the perceptibility threshold, with Biodentine showing greater ΔE values than NeoMTA and EndoSequence Putty in the absence of statistical significance (p&gt;0.05). Conclusions: Discoloration elicited by CSCs may develop soon after placement, and continue to increase for up to two years. Angelus MTA and ProRooT MTA cannot be recommended for vital pulp therapies in the esthetic zone of young individuals.

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Objectives: The aim of this study was to compare the shear bond strength of several self-etch adhesives to their two-step predecessors to ground and unground enamel.Methods: Seventy-five extracted, non-carious human third molar teeth were selected for this study. The buccal surfaces of each tooth were mechanically ground to obtain flat enamel surfaces (ground enamel), while the lingual surfaces were left intact (unground enamel). The teeth were randomly divided into five groups according to the adhesive systems (n=15): one-step self-etch adhesive - Clearfil S3 Bond, its two-step predecessor - Clearfil SE Bond, one-step self-etch adhesive - AdheSE One, and its two-step predecessor - AdheSE, and a two-step etch-and-rinse adhesive - Adper Single Bond 2(control). After application of the adhesives to the buccal and lingual enamel surfaces of each tooth, a cylindrical capsule filled with a hybrid composite resin (TPH) was seated against the surfaces. The specimens were stored in distilled water at 37°C for 24 hours, followed by thermocycling (5°C-55°C/500 cycles). They were subjected to shear bond strength test in a universal testing machine at a crosshead speed of 1.0 mm/minute. The data were compared using a two-way ANOVA, followed by Bonferroni test at P<.05Results: All adhesives exhibited statistically similar bond strengths to ground and unground enamel except for the etch-and-rinse adhesive that showed significantly higher bond strengths than the self-etch adhesives (P<.05). No significant differences in bond strength values were observed between ground and unground enamel for any of the adhesives tested (P=.17).Conclusions:Similar bond strengths to ground and unground enamel were achieved with one-step self-etch adhesives and their predecessors. Enamel preparation did not influence the bonding performance of the adhesives tested. (Eur J Dent 2012;6:280-286)

This study evaluated the sealing ability and push-out bond strength of two luting cements cured with two different types of light curing units (LCU): light-emitting diode (LED) versus quartz tungsten halogen (QTH). Forty teeth were divided into four groups (n=10/group). Quartz fi ber posts (D.T. Light-Post) were luted to coronal or apical section of root canals using two types of resin cements (Panavia F or RelyX) cured with either LED LCU (Elipar FreeLight II) or QTH LCU (Optilux 501). Highest push-out bond strength was exhibited by QTH-cured RelyX, which was not signifi cantly different from LED-cured RelyX but was higher than QTHcured Panavia F. The push-out bond strength of Panavia F did not differ with LCU type (p>0.05), but exhibited lower values than both QTH-and LED-cured RelyX. Fluid fi ltration test revealed that sealing ability was not infl uenced by luting cement type, but was signifi cantly infl uenced by LCU type in favor of QTH light source: QTH-cured specimens displayed better seal than LED-cured ones (p<0.05).