The impact of nano- and micro-silica on the setting time and microhardness of conventional glass–Ionomer cements

The objective of this study was to investigate the effect of the incorporation of 2, 4 or 6 wt% of amorphous nano- or micro-silica (Aerosil® OX 50 or Aeroperl® 300 Pharma (Evonik Operations GmbH, Essen, Germany), respectively) on the net setting time and microhardness of Ketac™ Molar (3M ESPE, St. Paul, MN, USA) and Fuji IX GP® (GC Corporation, Tokyo, Japan) glass–ionomer cements (GICs) (viz. KM and FIX, respectively). Both silica particles were found to cause a non-linear, dose-dependent reduction in setting time that was within the clinically acceptable limits specified in the relevant international standard (ISO 9917-1:2007). The microhardness of KM was statistically unaffected by blending with 2 or 4 wt% nano-silica at all times, whereas 6 wt% addition decreased and increased the surface hardness at 1 and 21 days, respectively. The incorporation of 4 or 6 wt% nano-silica significantly improved the microhardness of FIX at 1, 14 and 21 days, with no change in this property noted for 2 wt% addition. Micro-silica also tended to enhance the microhardness of FIX, at all concentrations and times, to an extent that became statistically significant for all dosages at 21 days. Conversely, 4 and 6 wt% additions of micro-silica markedly decreased the initial 1-day microhardness of KM, and the 21-day sample blended at 4 wt% was the only specimen that demonstrated a significant increase in this property. Scanning electron microscopy indicated that the nano- and micro-silica particles were well distributed throughout the composite structures of both GICs with no evidence of aggregation or zoning. The specific mechanisms of the interaction of inorganic nanoparticles with the constituents of GICs require further understanding, and a lack of international standardization of the determination of microhardness is problematic in this respect

Enamael Remineralisation by Arginine-Calcium Carbonate Toothpaste

White spot lesions (WSLs) are the first visual indication that the dynamic processes that maintain healthy tooth enamel have shifted in favour of demineralisation. It is possible to reverse this early stage of enamel caries with good oral hygiene and home-use products that enhance the bioavailability of salivary calcium, phosphate and fluoride species. Arginine (C6H14N4O2), a conditionally essential α-amino acid, is metabolised by oral bacteria to generate ammonia which protects enamel from acid-erosion. It also forms complexes with Ca2+ ions which increase the bioavailability of calcium and promote remineralisation. The present in vitro study investigates the potential of a commercial arginine- and calcium carbonate-bearing toothpaste (Colgate Sensitive Pro-Relief, Colgate-Palmolive (UK) Limited) to repair WSLs in human enamel under optimum and aggressive acid-challenge conditions

Enamael Protection by Hydroxyapatite Toothpaste

Tooth enamel comprises ∼90% substituted hydroxyapatite (Ca10(PO4)6(OH)2), HAP, which is continually subjected to consecutive cycles of dissolution and recrystallisation. Initial dental caries is denoted by non-cavitated white spot lesions (WSLs) when net demineralisation occurs. Commercial products such as toothpastes, mouthwashes and chewing gums that release bioavailable calcium, phosphate and/or fluoride species have been shown to facilitate the remineralisation and repair of initial WSLs. In this respect, synthetic HAP particles can be incorporated into toothpastes to exploit both their abrasive and remineralising properties. The present study investigates the potential of a toothpaste containing micron-sized HAP particles (mirasensitive hap+®, Hager Werken, Germany) to repair WSLs in human enamel under optimum pH-neutral conditions and to protect the enamel exposed to an aggressive acid-challenge regime in vitro

Effect of Er:YAG laser enamel conditioning and moisture on the microleakage of a hydrophilic sealant

For a given sealant, successful pit and fissure sealing is principally governed by the enamel conditioning technique and the presence of moisture contamination. A new generation of hydrophilic resin sealants is reported to tolerate moisture. This study investigates the impact of Er:YAG laser pre-conditioning and moisture contamination on the microleakage of a recent hydrophilic sealant. Occlusal surfaces of extracted human molars were either acid etched (n = 30), or successively lased and acid etched (n = 30). Ten teeth from each group were either air-dried, water-contaminated, or saliva-contaminated prior to sealing with UltraSeal XT® hydro™. Samples were inspected for penetration of fuchsin dye following 3000 thermocycles between 5 and 50 °C, and the enamel–sealant interfaces were observed by scanning electron microscopy (SEM). Significant differences in microleakage were evaluated using the Mann–Whitney U test with Bonferroni adjustment (p = 0.05). Laser pre-conditioning significantly reduced dye penetration irrespective of whether the enamel surface was moist or dry. Microleakageof water-contaminated acid etched teeth was significantly greater than that of their air-dried or saliva-contaminated counterparts. SEM analysis demonstrated good adaptation in all groups with the exception of water-contaminated acid etched teeth which exhibited relatively wide gaps. In conclusion, this hydrophilic sealant tolerates the presence of saliva, although water was found to impair its sealing ability. Laser pre-conditioning significantly decreases microleakage in all cases

Characterisation and microleakage of a new hydrophilic fissure sealant – UltraSeal XT® hydro™

Objectives: The new hydrophilic fissure sealant, UltraSeal XT® hydro™ (Ultradent Products, USA), was characterised and its in vitro resistance to microleakage after placement on conventionally acid etched and sequentially lased and acid etched molars was investigated. Materials and Methods: The sealant was characterised by Fourier transform infra-red spectroscopy, (FTIR), scanning electron microscopy (SEM), energy dispersive X-ray analysis (EDX) and Vickers indentation test. Occlusal surfaces of extracted human molars were either conventionally acid etched (n = 10), or sequentially acid etched and laser irradiated (n = 10). UltraSeal XT® hydro™ was applied to both groups of teeth which were then subjected to 2500 thermocycles between 5 and 55 °C prior to microleakage assessment by fuchsin dye penetration. Results: UltraSeal XT® hydro™ is an acrylate-based sealant which achieved a degree of conversion of 50.6 ± 2.2% and a Vickers microhardness of 24.2 ± 1.5 under standard light curing (1000 mWcm-2 for 20 s). Fluoride ion release was negligible within a 14-day period. SEM and EDX analyses indicated that the sealant comprises irregular sub-micron and nano-sized silicon-, barium- and aluminium-bearing filler phases embedded within a ductile matrix. Laser preconditioning was found to significantly reduce microleakage (Mann-Whitney U test, p < 0.001). The lased teeth presented enhanced surface roughness on a 50 to 100 μm scale which caused the segregation and concentration of the filler particles at the enamel-sealant interface. Conclusion: Laser preconditioning significantly decreased microleakage and increased enamel surface roughness which caused zoning of the filler particles at the enamel-sealant interface

Characterisation and microleakage of a new hydrophilic fissure sealant - UltraSeal XT® hydro™

ABSTRACT Objectives The aim of this study was to characterise the new hydrophilic fissure sealant, UltraSeal XT® hydro™ (Ultradent Products, USA), and to investigate its in vitro resistance to microleakage after placement on conventionally acid etched and sequentially lased and acid etched molars. Material and Methods The sealant was characterised by Fourier transform infra-red spectroscopy (FTIR), scanning electron microscopy (SEM), energy dispersive X-ray analysis (EDX), and Vickers indentation test. Occlusal surfaces of extracted human molars were either conventionally acid etched (n=10), or sequentially acid etched and laser irradiated (n=10). UltraSeal XT® hydro™ was applied to both groups of teeth which were then subjected to 2,500 thermocycles between 5 and 55°C prior to microleakage assessment by fuchsin dye penetration. Results UltraSeal XT® hydro™ is an acrylate-based sealant that achieved a degree of conversion of 50.6±2.2% and a Vickers microhardness of 24.2±1.5 under standard light curing (1,000 mWcm-2 for 20 s). Fluoride ion release is negligible within a 14-day period. SEM and EDX analyses indicated that the sealant comprises irregular submicron and nano-sized silicon-, barium-, and aluminium-bearing filler phases embedded in a ductile matrix. Laser preconditioning was found to significantly reduce microleakage (Mann-Whitney U test, p<0.001). The lased teeth presented enhanced surface roughness on a 50 to 100 μm scale that caused the segregation and concentration of the filler particles at the enamel-sealant interface. Conclusion Laser preconditioning significantly decreased microleakage and increased enamel surface roughness, which caused zoning of the filler particles at the enamel-sealant interface

The prevalence of microalbuminuria and relevant cardiovascular risk factors in Turkish hypertensive patients.

Objectives: A growing body of data illustrates the importance of microalbuminuria (MAU) as a strong predictor of cardiovascular risk in the hypertensive population. The present study was designed to define the prevalence of MAU and associated cardiovascular risk factors among Turkish hypertensive outpatients. Study design: Representing the Turkish arm of the multinational i-SEARCH study involving 1,750 sites in 26 countries around the world, a total of 1,926 hypertensive patients from different centers were included in this observational and cross-sectional survey study. Patients with reasons for a false-positive MAU test were excluded. The prevalence of MAU was assessed using a dipstick test, and patients were inquired about comorbidities, comedication, and known cardiovascular risk factors. Results: The overall prevalence of MAU was 64.7% and there was no difference between genders. Most of the patients (82.5%) had uncontrolled hypertension, 35.6% had dyslipidemia, and 35.5% had diabetes, predominantly type 2. Almost one-third of the patients (26.4%) had at least one cardiovascular-related comorbidity, with 20.3% having documented coronary artery disease (CAD). Almost all patients (96.8%) had one or more risk factors for cardiovascular disease in addition to hypertension, including family history of myocardial infarction or CAD, diabetes, dyslipidemia, lack of physical exercise, and smoking. A trend towards higher MAU values in the presence of CAD was determined. Conclusion: Microalbuminuria tests should be routinely used as a screening and monitoring tool for the assessment of subsequent cardiovascular morbidity and mortality among hypertensive patients. © 2011 Turkish Society of Cardiology