The aim of the study was to evaluate and to compare the interface and marginal leakage of dental composite resins using confocal laser scanning biological microscopy (CM). Ten class II cavities were prepared on the proximal surfaces of 10 extracted teeth, previously kept in 10% formalin to preserve the bonding properties of the tooth structures. Cavities were restored with dental composite resin using the �open sandwich� technique and then assessed using CM. Open marginal adaptations at the interfaces inside the composite resins were identified. The results obtained with CM helped to eliminate and reduce the background information collected from a distance from the focal plane and allowed for the acquisition of serial optical sections from thick tooth specimens. In vitro assessments were thus made using CM on the teeth structure, regarding the occurrence of potential micro-leakages at the restoration interface.
Implants and biomaterials used in hard and soft oral tissue augmentation are very complex, but predictable to use nowadays, as the technological advances haven�t skipped this field of medicine. Cases that were impossible to treat with implant retained fixed prosthesis some years ago, have become the daily practice of oral surgeons and dentists around the world. The new user-friendly products, together with simplified protocols, increased the practitioners� predictability and success rate, thus the biomaterial industry took a huge leap forward. As the biomaterial industry keeps developing continuously, making better and safer products, the surgical and prosthetic protocols evolve and change as well. On this matter, the implant placement has become safer, using digital surgical guides. Guided implant placement doesn�t just allow the practitioner place the implant in the patient�s bone, but, moreover, it helps him place it in the correct, 3D, prosthetic position. And, thus, guiding the future bone augmentation and regeneration as well, accordingly. So, the implant placement has shifted from bone-orientated to prosthetic-orientated, offering at the same time a better primary stability for the implants, due to the prior planning. The present clinical study aims to analyze the outcome of the digital guided protocol. Unlike the free-handed surgery, the digital guided surgery allows dentists and oral surgeons to place implants according to the future prosthetic position of the crowns, even in conditions of alveolar ridges with bone resorption. Moreover, it makes possible the �one day implant� concept, the dental technician being able to create the provisional crown/s in advance, knowing precisely the future position of the implant placement. So, at the time of the surgery, the provisional crown is also put in place, guiding the soft and hard tissue healing and also giving the patient a greater satisfaction.
Composite resin materials for posterior restorations are becoming more and more popular. According to the market, Ormocer materials are more expensive than composite resin this paper is comparing the resistance to fracture between nanohybrid composites and Ormocers under vertical forces to evaluate their cost efficiency in the dental cabinets. 20 teeth were prepared and filled with Ormocer and 20 with nanohybrid composite respectively. All the samples were sent for measuring under vertical pressure with the use of a universal testing machine. The average value of fracture for Ormocer was slightly higher (1541 N) than the average value of fracture of the nanohybrid composite (1431 N). Considering the similarity in the average values of the two materials we should look into the other properties (biocompatibility, shrinkage, aesthetics, etc) to take a final decision. Both materials can be used with the same rate of success taking in account always the protocol provided by the manufacturer.
The main properties of dental adhesives should be good marginal adaptation, high retention strength and the possibility of not negatively influencing clinical sustainability. Dental adhesives are continuously improving to increase their retention to dental structures by increasing penetration in these structures, as it was shownin the in-vitro tests requiring imaging and qualitative analysis to allow the evaluation of experimental samples as well as the development of new materials. The main objective of this study is the qualitative and quantitative analysis of the layer of modified dental adhesives with ferrous nanoparticles encapsulated in a SiO2 membrane located between the surface of the dental preparation and the surface of the photopolymerizable composite filling. For qualitative and quantitative analysis of the samples, technologies such as SEM, optical microscopy and EDX were used.
The aim of the study was to determine the marginal and internal adaptation after curing of different composite resin restorations, using a nondestructive X-ray micro-computed tomography (micro-CT). Forty previously extracted human molars, kept in 10% formalin to preserve the bonding capabilities of the tooth structures, were divided into four groups based on the composite system used and different light-curing times. Class II (vertical slot) cavities were prepared on one proximal side and restored with dental composite using a Tofflemire matrix, with a bulk-fill composite resin (Venus Bulk Fill, Heraeus Kulzer) and a universal posterior composite (G-ænial Posterior, GC). A curing lamp (Kerr Demi Ultra) was used with different curing times. Micro-CT scanning was performed by using Nikon XTH 225ST to reveal any defects in adaptation or gaps at the tooth restoration interface. The 3D images of the adaptation around the restorations were reconstructed using VG Studio Max 2.2 and myVGL 2.2.6 64-bit software. All samples from the G-ænial group showed marginal and internal gaps, with G-ænial Posterior having higher polymerization shrinkage and marginal gap values. In the Venus Bulk Fill group, there were fewer restorations with internal and external gap formation. Micro-CT is a three-dimensional imaging technique that can nondestructively detect adaptation around the resin composite restorations at every level of the sample.
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