Introduction: Perceptions of the esthetic appearance of teeth vary in different individuals and can affect satisfaction with the dental appearance, attitudes, and the need for appropriate dental treatment. The research aims to examine the factors influencing the satisfaction with the appearance of the dentition and the attitude toward treatments which improve dental esthetics among students of the faculty of dentistry in comparison to the attitudes of students of non-dental faculties.Methods: The research included a total of 358 students of the Faculty of Dentistry and Faculty of Architecture in Sarajevo who voluntarily filled out a questionnaire created for this research. The questionnaire contained questions related to satisfaction with the appearance of teeth in general, tooth color, tooth position, questions related to the previous, and future desired esthetic restorations and treatments.Results: Female subjects expressed statistically significantly greater dissatisfaction with the appearance of the dentition and did or plan to do treatments that could improve dental esthetics compared to male subjects. Students of the Faculty of Dentistry at final years were significantly more satisfied with the general appearance of teeth and tooth color compared to freshmen students of the Faculty of Dentistry and students of the Faculty of Architecture.Conclusion: Satisfaction with dental appearance is a subjective experience that is influenced by various factors, level, and type of education is among them.
Objectives The aim of the study was to analyze the occurrence of stress on teeth with abfraction lesions restored with six different restorative materials, and by introducing the tensile strength parameters to calculate the safety factor of the material under the load (ratio between the strength of the material and the maximum stress). Materials and Methods Three-dimensional models of the mandibular premolar are created from a microcomputed tomography images. An abfraction lesion is modeled on the tooth. The stress of the dental tissues and six restorative materials under functional and nonfunctional occlusal loading of 200 (N) are analyzed by finite element method. Statistical Analysis CTAn program 1.10 and ANSYS Workbench (version 14.0) were used for analysis. Results are presented in von Mises stress. Results Oblique loads caused ≈ four times higher stress in restorative materials than the axial ones. It is noticeable that high values of von Mises stress are measured at the bottom of the sharp lesion, even up to 240 MPa, that are significantly reduced after the restoration. The highest stresses at the restorative material are present at the lower (gingival) margin of the restoration. The highest stresses under both types of loads are measured in nanohybrid composite (Tetric EvoCeram, Ivoclar Vivadent). The lowest values of the stress are measured in the flowable composite (Tetric Flow, Ivoclar Vivadent), but at the same time, the highest value of the stress is measured in the surrounding dental tissues on the tooth restored with the flowable composite. The microhybrid composite (Herculite XR, Kerr), with the highest safety factor, is the material that best withstands the stresses it is exposed to. The obtained safety factor did not exceed the critical limit, except for the glass ionomer cement, with the safety factor lower than 1. Conclusion The type of tooth loading has the greatest influence on the intensity of stress. The value of the obtained stresses in the restorative material and dental tissues differ due to the different mechanical properties of the materials. Restoration of noncarious lesions significantly reduces extremely high stress values at their bottom.
<div class="WordSection1"><p><strong>Objective. </strong>To evaluate and compare the water sorption of three luting cements in three different solutions: distilled water and artificial saliva with different pH values (7.4 and 3.0). <strong>Materials and methods</strong>. Resin-modified glass-ionomer cement (GC Fuji Plus) and two resin cements (Multilink Automix and Variolink II) were used. A total of 45 specimens - 15 specimens (15x1 mm) for each cement were prepared according to ISO standard 4049:2009. The water sorptions of the cements were calculated by weighing the specimens before and after immersion and desiccation. <strong>Results. </strong>Nonparametric statistic methods were applied. GC Fuji Plus cement showed significantly higher values of water sorption in all three solutions of both resin cements (p<0.009) and significantly higher values of sorption in artificial saliva pH 3.0. Multilink Automix showed significantly higher values of water sorption compared with Variolink II in artificial saliva pH 7.4, and higher values of sorption in this solution compared with pH value 3.0. <strong>Con- clusion. </strong>Water sorption values are mainly influenced by the proportion of hydrophilic matrix, the type and composition of filler, and the pH value of solutions.</p></div>
Objectives The study aimed to compare the color stability of two different light-cured composites after immersion in three liquids and the effectiveness of 16% carbamide peroxide (CP) in removing the discoloration. Material and methods Color stability of a microhybrid (Z250, 3M ESPE) and nanocomposite (Z550, 3M ESPE) was evaluated after immersion in instant coffee, tea, Coca-Cola, and deionized water as a control group (n=5). Samples were kept in liquids for four hours daily at 37°C for 30 days. Furthermore, 16% CP was applied for the following 14 days, simulating night whitening. A digital spectrophotometer was used for color measurement based on the CIEL*a*b* color coordinates. The color changes (∆E) were measured at baseline, after immersion in the beverages, and also after the teeth whitening procedure. Mixed and factorial ANOVA followed by Bonferroni’s post-hoc test were used for statistical evaluation (p≤0.05). Results Tested resin composites showed a color change over the acceptability threshold (ΔE*> 3.48) after immersion in coffee and tea. Nanocomposite reported a significant increase in discoloration in coffee after 30 days (p <0.05). The color of both materials significantly changed (p<0.05) along all three L*a*b* axes in coffee and tea to darker, yellow, and red. Whitening with 16% CP was effective in removing external discoloration in both examined composite materials. Conclusion Coffee and tea induced clinically detectable color changes in dental composites tested, with cumulative effects. Whitening represents an efficient method for the removal of surface discoloration in composite restorations.
<p><strong>Objective. </strong>To evaluate and compare the solubility of three luting cements in three different solutions: distilled water and artificial saliva with different pH values (7.4 and 3.0).</p><p><strong>Materials and Methods</strong>. Resin-modified glass-ionomer cement (GC Fuji Plus) and two resin cements (Multilink Automix and Variolink II) were used. A total of 45 specimens, 15 specimens (15x1 mm) for each cement, were prepared according to ISO standard 4049:2009. The solubility of the cements was calculated by weighing the specimens before and after immersion and desiccation. Values of solubility in water (Wsl) in microgram/mm3 for each of the five specimens were calculated using the following formula (ISO 4049:2009): Wsl=(m1-m3)∕V. The Mann-Whitney U nonparametric statistical method and Post hoc sample comparisons were applied.</p><p><strong>Results. </strong>GC Fuji Plus showed statistically significant higher solubility in comparison with Variolink II and Multilink Automix in all three solutions. In acidic artificial saliva (pH 3.0) Multilink Automix showed significantly higher values of solubility compared to Variolink II (P<0.016). By studying the effect of pH value on the solubility of GC Fuji Plus cement, significantly higher values of solubility in pH 3.0 artificial saliva were confirmed (P<0.009). The influence of the surrounding pH value on the solubility of the resin cements Multilink Automix and Variolink II was researched. No statistically significant difference was found.</p><p><strong>Conclusion. </strong>Solubility values were mainly influenced by the proportion of hydrophilic matrix, the type and composition of filler, and the pH value of the solutions.</p>
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