Hypersensitivity in molar incisor hypomineralization: Superficial infiltration treatment

To date, there are no standardized protocols available in the literature for hypersensitivity treatment in molar incisor hypomineralization (MIH) patients. The aim of this study was to evaluate the efficacy of erosion\u2013infiltration treatments with resin in children with a strong hypersensitivity and also to develop a minimally invasive diagnostic\u2013therapeutic pathway for young MIH patients. Patients with clinical signs of MIH were enrolled according to international guidelines. A total of 42 patients (8\u201314 years old) with sensitivity of at least one molar and patients with post eruptive enamel fractures, but without dentin involvement or cavitated carious lesions were selected. A single superficial infiltration treatment with ICON (DMG, Germany) was performed with a modified etching technique. Sensitivity was tested with the Schiff Scale and Wong Baker Face Scale and was repeated at 12 months follow\u2010up. All patients reported lower sensitivity values at the end of the treatment. Significant differences of sensitivity according to the Schiff scale were reported between T0 and all subsequent follow\u2010ups, p < 0.05. The treatment of erosion infiltration with ICON resin is a minimally invasive preventive treatment that significantly improves the problem of hypersensitivity in permanent molars with MIH

Effects of finish line design and fatigue cyclic loading on phase transformation of zirconia dental ceramics: A qualitative micro-raman spectroscopic analysis

Objectives: Stresses produced during the fabrication of copings and by chewing activity can induce a tetragonal-to-monoclinic (t-m) transformation of zirconia. As a consequence, in the m-phase, the material is not able to hinder possible cracks by the favorable mechanism known as "transformation toughening". This study aimed at evaluating if different marginal preparations of zirconia copings can cause a premature phase transformation immediately after manufacturing milling and after chewing simulation. Methods: Ninety copings using three commercial zirconia ceramics (Nobel Procera Zirconia, Nobel Biocare Management AG; Lava Classic, 3M ESPE; Lava Plus, 3M ESPE) were prepared with deep-chamfer, slight-chamfer, or feather-edge finish lines (n = 10). Specimens were tested in a chewing simulator (CS-4.4, SD Mechatronik) under cyclic occlusal loads simulating one year of clinical service. Raman spectra were acquired and analyzed for each specimen along the finish lines and at the top of each coping before and after chewing simulation, respectively. Results: Raman analysis did not show any t-m transformation both before and after chewing simulation, as the typical monoclinic bands at 181 cm -1 and 192 cm -1 were not detected in any of the tested specimens. Conclusions: After a one-year simulation of chewing activity, irrespective of preparation geometry, zirconia copings did not show any sign of t-m transformation, either in the load application areas or at the margins. Consequently, manufacturing milling even in thin thickness did not cause any structural modification of zirconia ceramics "as received by manufacturers" both before and after chewing simulation

INTERACTION BETWEEN NANOFILLED COMPOSITES AND POLYWAVE MULTILED CURING LAMPS: AN IN VITRO STUDY

8nonenoneBattaglia V; Bergantin E; Paolino D; Coero Borga FA; Cadenaro M; Breschi L; Berutti E; Scotti N.Battaglia, V; Bergantin, E; Paolino, D; Coero Borga, Fa; Cadenaro, Milena; Breschi, Lorenzo; Berutti, E; Scotti, Nicol

Long-term bond strength and endogenous enzymatic activity of a chlorhexidine-containing commercially available adhesive

10siObjectives: The aim of this study was to investigate, by the means of microtensile bond strength (μTBS) test, gelatin and in situ zymography, the influence of 0.2% CHX contained within a commercially available adhesive on long-term bond strength and endogenous enzymatic activity. Methods: Non-carious teeth were subjected to μTBS test (N = 15 for each group) and stressed until failure. μTBS was evaluated immediately and after 12-month storage in artificial saliva at 37 °C. Dentin powder was obtained from additional teeth (N = 7) for gelatin zymography, while for in situ zymography, 3 teeth for each group were selected. Gelatin and in situ zymography were performed in dentin powder and slices of dentin, respectively, to assess the ability of 0.2% CHX blended within the adhesive to inhibit endogenous enzymatic activity. Results: μTBS bond strength was higher in the CHX-containing groups, immediately as well as after aging. The bond strength significantly decreased after 12-month aging. The activation of endogenous MMPs was found to be related to the presence of CHX within the adhesive system and the bonding strategy employed. Conclusions: Under this perspective 0.2% CHX blended within Peak Universal adhesive monomer seems to in- crease immediate bond strength, to preserve bond strength over time and to efficiently inhibit endogenous enzymatic activity in dentin. Hence, blending the CHX in low concentrations within the adhesive could be recommended as a feasible technique in every-day clinical practice. Clinical significance: Using CHX-containing adhesives could be recommended due to several benefits: it seems to increase the longevity of the hybrid layer; the inhibitor appears to be efficiently delivered to the dentinal substrate and to inhibit endogenous enzymatic activity, without prolonging chair time.openopenMaravić, Tatjana; Comba, Allegra; Cunha, Sandra Ribeiro; Angeloni, Valeria; Cadenaro, Milena; Visinitini, Erika; Navarra, Chiara Ottavia; Salgarello, Stefano; Breschi, Lorenzo*; Mazzoni, AnnalisaMaravić, Tatjana; Comba, Allegra; Cunha, Sandra Ribeiro; Angeloni, Valeria; Cadenaro, Milena; Visinitini, Erika; Navarra, Chiara Ottavia; Salgarello, Stefano; Breschi, Lorenzo; Mazzoni, Annalis

Chemical stabilization of dentin extracellular matrix detected by FEISEM and EDS

Dentin collagen degradation represents an important limit to the stability of the resin-dentin interface in conservative dentistry. In vitro application of 1-ethyl-3-(3- dimethylaminopropyl)-carbodiimide hydrochloride (EDC), an imide-based zerolength cross-linking agent, showed [1] the capability to inactivate the endogenous dentin matrix metalloproteinases and to increase the mechanical properties of the organic dentin extracellular matrix. In the present study, a correlative high resolution SEM (FEISEM) with an Energy Dispersive Spectroscopy (EDS) analysis was performed to characterize the fine structure and the chemical modifications of EDCstabilized human dentin, after compressive mechanical stress (Chewing Simulation - CS). Demineralized human dentin disks were assigned to four groups: (1) artificial saliva at 37°C for 30 days; (2) pre-treatment with 0.5M EDC for 60 s, then as in Group 1; (3) CS challenge for 30 days; (4) 0.5M EDC as in Group 2 and CS challenge as in Group 3. The FEISEM analysis revealed that the EDC-pretreatment made the collagen fibrillar network more compact, in comparison to controls and this effect was particularly evident on the surface of not stressed samples. Along with the increased compactness of the collagen complex, the EDS analysis showed a significant semi-quantitative increase of sulfur. The presence of chlorine in EDC treated samples was also detectable. The increase of sulfur, not present in EDC composition, suggests a possible implication of sulfate glycosaminoglycans containing proteoglycans during the extracellular matrix stabilization, as also suggested by the concurrent increase of the amorphous matrix. The presence of chlorine in EDC treated samples induces to conclude that the activity of the cross-linking agent is stable even after the experimental time intervals

Academy of Dental Materials guidance-Resin composites: Part I-Mechanical properties

Objective. The objective of this project, which was initiated from the Academy of Dental Materials, was to review and critically appraise methods to determine fracture, deformation and wear resistance of dental resin composites, in an attempt to provide guidance for investigators endeavoring to study these properties for these materials. Methods. Test methods have been ranked in the priority of the specific property being tested, as well as of the specific test methods for evaluating that property. Focus was placed on the tests that are considered to be of the highest priority in terms of being the most useful, applicable, supported by the literature, and which show a correlation with clinical findings. Others are mentioned briefly for the purpose of being inclusive. When a standard test method exists, including those used in other fields, these have been identified in the beginning of each section. Also, some examples from the resin composite literature are included for each test method. Results. The properties for evaluating resin composites were ranked in the priority of measurement as following: (1) Strength, Elastic Modulus, Fracture toughness, Fatigue, Indentation Hardness, Wear abrasion (third body) and Wear attrition (contact/two body), (2) Toughness, Edge strength (chipping) and (3) Wear determined by toothbrush. Significance. The following guidance is meant to aid the researcher in choosing the proper method to assess key properties of dental resin composites with regard to their fracture, deformation and wear resistance