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2020, Journal of Prosthetic Dentistry
https://doi.org/10.1016/J.PROSDENT.2019.04.018…
8 pages
1 file
In the recent years, various computer-aided design and computer-aided manufacturing (CAD-CAM) esthetic materials have been introduced, enabling the fabrication of monolithic restorations in a single patient visit. Among the materials are zirconia-reinforced lithium silicate ceramic, polymerinfiltrated ceramic, and nanofilled composite resin. Many of the aspects involving these materials have been reported. 1-10 However, little is known about how their surface behaves in the presence of extrinsic (dietary) and intrinsic (gastric juice) acidic substances. Regardless of its origin, the acid attacks the surface of the tooth, changing its structure over time. The gastric juice produced a more severe degradation of dental structures than dietary acids. Gastric juice can reach the oral cavity as a result of bulimia nervosa, gastroesophageal reflux disease (GERD), or prolonged severe nausea during pregnancy. Although the information regarding the prevalence of bulimia nervosa is limited, eating disorders have the greatest prevalence in women in adolescence or early adulthood. The prevalence of GERD has been reported to be between 10% and 20% in Western countries and less than 5% in Supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) (grant 2016/09628-0).
Australian Journal of Basic and Applied Sciences, 2012
The aim of this study was to investigate the proper direct esthetic restorative materials to be used for bulimia nervosa patients. Therefore the effect of simulated gastric juice on the microhardness and surface roughness of five direct esthetic restorative materials was investigated. Simulated gastric juice was prepared and adjusted to pH 3.8. Sixty specimens of each restorative material, including a microhybrid composite resin, a nanofilled composite resin, a low shrinkage composite resin, a conventional glass ionomer, and a nanofilled glass-ionomer restorations, were prepared and divided into three groups (n=20). One group was immersed in distilled water (control), the second and third groups were immersed in the simulated gastric juice for 6 hours and 12 hours respectively. Each group was further subdivided into two groups (n=10), for surface topography characterization and for microhardness evaluation. Energy dispersive X-ray microanalysis and scanning electron microscopic analysis of selected samples were performed. Data were analyzed using 2-way analysis of variance and Tukey's post-hoc test. For all the tested materials, there was a statistically significant increase in mean Ra and decrease in mean microhardness after immersion in simulated gastric juice compared with the control groups. Ketac TM N100 after immersion for 6 hrs and 12 hrs showed the statistically significantly highest mean Ra values and lowest microhardness values, while Filtek TM Z350 showed the statistically significantly lowest mean Ra values and highest microhardness values. It was concluded that nanofilled composite resin was the most suitable material for restoration in patients suffering from bulimia nervosa.
Materials, 2019
CAD/CAM (computer-aided design/computer-aided manufacturing) for indirect restorative materials has been recently introduced in dentistry. The purpose of this study was to evaluate the change of the surface micro-hardness of different restorative CAD/CAM materials after exposure to a carbonated acidic drink (Coca-Cola, Coca-Cola Company, Milan, Italy). One hundred and eighty specimens of identical size (2 mm thickness) were obtained by sectioning each tested CAD/CAM block of four materials: a hybrid ceramic (CERASMART™, GC Corporation, Tokyo, Japan), a resin nano ceramic (Lava™ Ultimate, 3M, Monrovia, CA, USA), a nanohybrid composite (Grandio blocs, VOCO GmbH, Cuxhaven, Germany), and a zirconia-reinforced lithium silicate glass ceramic (VITA SUPRINITY® PC; VITA Zahnfabrik, Bad Sackingen, Germany). Forty-five specimens of each material were tested. Micro-hardness was measured at baseline, after 7 days and after 28 days. The data were analyzed. The micro-hardness of each material vari...
Medicina
Background and Objectives: The aim of this in vitro study was to evaluate the effect of gastric acid associated with the effect of toothbrushing on the surface roughness of different types of composite resin used for direct restorations. Materials and Methods: The materials used in this study were two microhybrid (Filtek Z250, Herculite XRV) and two nanohybrid (Filtek Z550, Herculite XRV Ultra) composite resins. Two hundred and forty cylindrical samples with a height of 2 mm and a diameter of 6 mm were divided into four groups (groups A, B, C and D) corresponding to each tested material (n = 60). Each group was divided in two subgroups: subgroup I—the samples were submersed in hydrochloric acid and immediately submitted to toothbrushing; subgroup II—the samples were submitted only to toothbrushing. The simulation of the acid attack was performed by immersing the samples in a 0.01 M hydrochloric acid solution for 90 min. This procedure was followed immediately by toothbrushing simula...
Egyptian Dental Journal, 2021
Purpose: The purpose of this in vitro study was to evaluate the effect of simulated gastric acidity on surface roughness of different types of dental ceramics. Methods: Fifty specimens were divided according to type of the material into five groups (n=10), as follows: Partially stabilized zirconia (PSZ) (Prettaue), Fully stabilized zirconia (FSZ) (Prettaue Anterior), lithium disilicate ceramics (IPS. Emax), Zirconia-containing lithium silicate ceramics (ZLS) (Vita Suprinity) and Hybrid ceramics (Vita Enamic). Specimens were cut using a low-speed diamond saw (Isomet) into a rectangular shape with the following dimension: 12mm width x 14mm length x 1 mm thickness. Surface roughness was evaluated by optical profilometer. Each specimen was immersed in 5 ml of the simulated acid of ph 1.2 for 96 h in a37˚C incubator. Surface roughness of all tested groups was revaluated. One-way ANOVA was used to compare mean difference between groups. Paired t-test was used for comparing (before and after) roughness in each group. Results: There was significant difference (P=0.002) between all groups. There was increase in surface roughness for all materials tested, but it was non-significant (P>0.05) for Prettaue (P=0.607), Prettaue Anterior (P=0.273) and Vita Suprinty group (P=0.201). There was significant increase (P≤0. 05) for IPS. Emax group (P=0.007) and Vita Enamic groups (P=0.021). Prettaue Anterior group showed the least amount of surface roughness change (0.0006±0.002), while Vita Enamic group showed the highest surface roughness change (0.0100±0.011). Conclusions: The gastric acid significantly increased the surface roughness of hybrid ceramics and lithium disilicate ceramics.
Egyptian Dental Journal
Purpose: The purpose of this in vitro study was to evaluate the impact of simulated gastric acidity on color stability of different types of dental ceramics. Materials and Methods: Fifty specimens were constructed according to type of the material into five groups (n=10), as follows: Partially stabilized zirconia (PSZ) (Prettaue), Fully stabilized zirconia (FSZ) (Prettaue Anterior), lithium disilicate ceramics (IPS. Emax), Zirconia-containing lithium silicate ceramics (ZLS) (Vita Suprinity) and Hybrid ceramics (Vita Enamic). All specimens were cut with a low-speed diamond saw (Isomet) into a rectangular shape with the following dimension: 12mm width x 14mm length x 1 mm thickness. Color stability was evaluated by reflective spectrophotometer. Each specimen was immersed in 5 ml of the simulated acid of ph 1.2 for 96 h in a 37˚C incubator. One-way ANOVA was used to compare mean difference between groups. Results: There was highly significant difference (P=0.000) between all groups. Prettaue group showed the least amount of color change (2.97±1.27), while vita enamic group showed the highest color change (5.97±3.29). Conclusions: The gastric acid changed the color of all types of dental ceramics. Except for Partially stabilized zirconia and lithium disilicate ceramics, the color change of all other ceramics was noticeable to the human eye and then was clinically unacceptable..
The Journal of Contemporary Dental Practice, 2020
Aim: The aim of this study was to assess the impact of acidic drink on the microhardness of different esthetic restorative materials. Materials and methods: Sixty samples (20 samples of each group) were prepared. group I: nanohybrid ormocer-based composite, group II: glasiosite compomer, and group III: nanoceramic composite. A cylindrical aluminum mold of 5 mm depth and 10 mm internal diameter was used to prepare the samples. All the esthetic restorative samples were submerged in 25 mL of acidic drink (Coca-Cola) for 10 minutes each day up to 15 days. The microhardness of each sample was measured using a Vickers diamond intender. These values were matched with baseline, 7th day, and 15th day for final microhardness values. Results: The mean surface microhardness of 61.13 ± 0.82 was shown by group I, which was slightly more than that in group II (59.65 ± 1.16) and group III (59.22 ± 1.30). Analysis of covariance did not show any statistically significant difference between the groups. The samples in group III showed the highest reduction in surface microhardness value after immersion into acidic drink, followed by group II and group I on 7th day and 15th day. A statistically significant difference (p < 0.001) was found on 7th day. Conclusion: The present study concludes that the esthetic restorative material-nanohybrid ormocer-based composite-showed the finest behavior both before and after being dipped in the acidic drink followed next by glasiosite compomer and nanoceramic composite. Clinical significance: The various esthetic restorative materials with different physical characteristics and colors are marketed in numerous ways. Nevertheless, all dental restorative materials show surface degradation under acidic conditions over a period of time. So, it helps to know the surface microhardness changes of various esthetic restorative materials upon repeated exposure to acidic beverages.
Revista de Chimie
The specific objective of the present study is to assess the interactions between cells from a human gingival epithelial cell line and various aesthetic materials used in modern prosthetic dentistry. For this study six types of dental materials were selected: Cr-Co non-precious metal alloy, ceramics applied on Cr-Co non-precious metal alloy, zirconia, ceramics applied on zirconia, polymethyl methacrylate and pressed ceramics/lithium disilicate. Cells from a human gingival epithelial cell line, Ca9-22 (Health Science Research Resources Bank), were cultured on the chosen surfaces for 3, 5 and 7 days. Cellular proliferation, cell attachment (using Multiplex Arrays Technology) and cytotoxicity (MTT- Assay) were evaluated at distinct predetermined intervals. Measurements performed at each distinct predetermined interval showed no significant difference for cell proliferation and cytotoxicity between the selected surfaces, however the highest levels were registered for the polymethyl meth...
Journal of clinical and experimental dentistry, 2016
A manifold increase in the consumption of aerated beverages has witnessed a twin increase in tooth wear and raised demand for esthetic restorative materials. This study aimed to evaluate the surface microhardness changes of esthetic restorative materials following treatment with aerated beverages in an in-vitro situation. The initial surface microhardness of the restorative materials GC Fuji II LC, GC Fuji IX, Nano Glass ionomer, Resin and Nano composite was recorded. These materials were studied under 3 groups that included those exposed to the acidic beverages daily, weekly once in a month and those that had no exposures at all. The final surface microhardness of the materials was recorded following experimentation and was subjected to statistical comparisons. The restorative materials were compared for their surface microhardness changes following respective treatments using the T-test and One-way ANOVA analysis. Inter-comparisons between the groups showed statistical significanc...
2021
Erosive tooth wear, that is characterized like irreversible loss of hard dental tissues due to influence of external and internal acids of nonbacterial origin, is one of the most common damage of a tooth surface. Erosive factors also affect the surface of dental reconstruction materials that ideally should be resistant against them. Dental filling materials designed for this purpose must be able to withstand these effects in a comparable or even better way than enamel. In our in vitro study we investigated using the nanoindentation the hardness of currently available dental filling materials (dental composite resin, self curing and dual cures glassionomer cement, dental amalgam) before and after erosive attacks (exposure to Coca Cola for 5 min and 14 days) and consequently compare it with them of human dental enamel. Furtermore we analised the surface topography of the samples before and after acidic exposure by confocal laser scanning microscope. In our experiments the filling mate...
Silicon, 2011
Ceramics are widely used biomaterials in prosthetic dentistry due to their attractive clinical properties. They are aesthetically pleasing with their color, shade and luster, and they are chemically stable. The main constituents of dental ceramic are Si-based inorganic materials, such as feldspar, quartz, and silica. Traditional feldspar-based ceramics are also referred to as "Porcelain". The crucial difference between a regular ceramic and a dental ceramic is the proportion of feldspar, quartz, and silica contained in the ceramic. A dental ceramic is a multiphase system, i.e. it contains a dispersed crystalline phase surrounded by a continuous amorphous phase (a glassy phase). Modern dental ceramics contain a higher proportion of the crystalline phase that significantly improves the biomechanical properties of ceramics. Examples of these high crystalline ceramics include lithium disilicate and zirconia. Keywords Dental ceramics. Silicates. Silica. Porcelain. Fracture toughness. Ceramic materials. Zirconia 2 Clinical Applications Ceramics have three major indications in dentistry: a) ceramic-metal crowns and fixed partial dentures, b) allceramic restoration that consists of crowns, inlays, onlays, and veneers, short span anterior bridges, and c) ceramic
Journal of Pharmaceutical Research International
Introduction: Dental materials whenever used for restorations in the oral cavity can be subjected to dental erosion because of the gastric juices and can cause roughness and act as a nidus for the growth plaque. Aim of this study was to evaluate impact of artificial gastric acid on surface roughness of dental restorations, examining scientific studies published from 2010-2020. Materials and Methods: This study follows and complies with principles of PRISMA guidelines for a systematic review research methodology. In March 2020, an initial search was carried out in the MEDLINE (PubMed), Science Direct, Google Scholar, and Saudi Digital Library database of indexed journals from 2010-2020 using the keywords: impact,” “effect,” “gastric acid,” “gastric juice,” “indirect restorations,” “dental materials,” “dental ceramics,” “crowns,”. Bibliographic materials from these articles were then utilized to find other sources. Results: The MEDLINE (PubMed) search retrieved thirty articles, of wh...
Ceramics, 2024
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Odontology
A total of 20 lithium disilicate glass–ceramics (IPS e.max CAD, Ivoclar Vivadent) and 20 resin nano-ceramic (Voco Grandio Blocks) onlay restorations were performed in 20 patients using a split-mouth design to compare the two-year clinical performance of lithium disilicate and resin nano-ceramic onlay restorations. Both restorations were evaluated at baseline, one-year, and two-year clinical follow-ups based on the modified United States Public Health Service (USPHS) criteria. Chi-square and Fisher’s exact tests showed no statistically significant difference between Voco Grandio and IPS e.max ceramic restorations for all evaluated parameters during the different follow-up periods (p > 0.05). Cochrane’s and MC-Nemar’s tests indicated statistically significant differences regarding color match within the Voco Grandio group. They also indicated statistically significant differences in marginal discoloration, marginal adaptation, surface texture, and postoperative hypersensitivity wit...
Journal of Dental and Allied Sciences, 2018
Esthetic dentistry, driven by a high demand for esthetically appealing and naturally looking restorations, especially, all-ceramic restorations, has become a segment of dentistry which has experienced tremendous improvements in the recent years. The increasing use of polycrystalline alumina and zirconia as framework materials and the increasing popularity and variety of computer-aided design and computer-aided manufacturing (CAD-CAM) systems seem to be mutually accelerating trends. In fact, CAD-CAM technology opens up a new opportunity for dental biomaterials scientists in the research field. Newer and improved materials are available at every moment. The present review gives an overview on the different materials available in ceramics used in dental CAD/CAM technology. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on CAD-CAM ceramic articles published between 1996 and 2014. A hand search of nonindexed literature was, also...
Medical problems such as gastroesophageal reflux disease can cause considerable damage to restorations in the oral environment. This study evaluated the effects of gastric juice on the surface characteristics of different types of laboratory-processed indirect composites with different filler particles and polymerization modes. Specimens were prepared from Tescera (TES; Bisco), Sinfony (SIN; 3M ESPE), Solidex (SOL; Shofu), and Adoro (AD; Ivoclar Vivadent). Before exposing the specimens to simulated gastric juice for 24 h, color, surface roughness, and microhardness were measured on one half of the polished flat surface of each specimen. After exposure to the simulated gastric juice, the same tests were repeated on the other half of specimen surface. Results indicated that gastric juice had a significant impact on color change (p<0.001). AD showed the largest surface roughness change among the resins (p<0.001). Gastric juice also significantly affected the microhardness of the materials, and AD and TES showed statistically similar change in microhardness (p>0.05).
Medicina
Background and Objectives: The aim of this in vitro study was to evaluate the effect of simulated gastric acid associated with toothbrushing on the surface condition of three resin-modified glass-ionomer cements (RMGIC). Materials and Methods: One hundred and sixty samples of each material were obtained and included in three study groups according to the tested material: Group I (Ionolux, VOCO GmbH, Cuxhaven, Germany); Group II (Vitremer, 3 M-ESPE, St. Paul, MN, USA); and Group III (Fuji II LC, GC Corporation, Tokyo, Japan). The samples were submersed in hydrochloric acid 0.01 M (pH 3.8) for 3 h and exposed to a toothbrushing procedure at a frequency of 10,000 cycles with medium and hard bristles immediately or 30 min after the acid attack. Profilometric measurements were performed by using a non-contact profilometer (Dektak XT, Bruker, Billerica, MA, USA) in order to assess the surface roughness. ANOVA and Bonferroni post hoc tests were used for the statistical analysis at a signif...
Journal of prosthodontic research, 2014
Ceramics are widely used as indirect restorative materials in dentistry because of their high biocompatibility and pleasing aesthetics. The objective is to review the state of the arts of CAD/CAM all-ceramic biomaterials. CAD/CAM all-ceramic biomaterials are highlighted and a subsequent literature search was conducted for the relevant subjects using PubMed followed by manual search. Developments in CAD/CAM technology have catalyzed researches in all-ceramic biomaterials and their applications. Feldspathic glass ceramic and glass infiltrated ceramic can be fabricated by traditional laboratory methods or CAD/CAM. The advent of polycrystalline ceramics is a direct result of CAD/CAM technology without which the fabrication would not have been possible. The clinical uses of these ceramics have met with variable clinical success. Multiple options are now available to the clinicians for the fabrication of aesthetic all ceramic restorations.
Acta stomatologica Croatica
Dental materials need to be thoroughly examined in order to assess their long-term therapeutical value. Chemical degradation of dental ceramic material enhances its roughness, leading to the wear of the opposing natural tooth or restorative material, greater plaque attachment to ceramics, weakening of the ceramic structure causing the critical ion exchange at the surface and enhancing the sensitivity to future chemical agents. The aim of this study was to test loss of mass in samples of four different dental ceramic materials in an acid medium. The least mass loss was recorded in apatite glass ceramic (IPS-Empress 2 for layering) (4.9±0.3 µg/cm2), and most mass loss was recorded in alumina ceramic (Vitadur alpha) (15±0.2 µg/cm2). Lithium disilicate glass ceramic (IPS-Empress 2 for coloring) and alumina (IPS-Classic) showed very similar results (9.4±3.4 µg/cm2 and 10.1±0.3 µg/cm2). The values of mass loss in samples in this work, as well as in the most of the literature, are minimal and presumably do not have any clinical or toxicological effects. However, it does not imply that these values can be generalized and transferred to dental ceramic materials that were not yet analyzed.
Journal of Composites Science, 2021
Abstract: The aim of this study was to determine the effect of acidic beverages on the mechanical characteristics of a nanofilled composite resin and of a glass ionomer. Thirty specimens of each restorative material were produced and were evaluated at three different time points: before immersion (T0), after a 7 day immersion (T1) and after a 14 day immersion (T2) in water, beer and a soft drink. The studied parameters were microhardness and surface roughness. At T2, composite resin and glass ionomer specimens immersed in water, beer and the soft drink showed a statistically significant decrease in microhardness compared to T0 results. The surface roughness of composite resin specimens decreased between T0 and T1/T2 after immersion in beer and soft drink. A statistically significant increase was found between the roughness of glass ionomer specimens immersed in each one of the beverages at T0 and T1/T2. It is essential that clinicians are aware not only of available restorative materials, its characteristics and best handling techniques but also of the importance of performing an adequate assessment of patients’ dietary habits, thus making it possible to offer patients quality treatments with a predictable prognosis and longevity.
Dental Research Journal
Acidic beverages, such as soft drinks (orange juice and cola), can produce erosion of resin composites. The aim of this in vitro study was to evaluate the effect of immersion in acidic drink on the Vickers microhardness (VK) of different esthetic restorative materials (one nanohybrid Ormocer-based composite, one nanoceramic composite, one nanofilled composite, and one microfilled hybrid composite). In this in vitro study, thirty specimens of each esthetic restorative material were divided into three subgroups (n = 10): specimens of group 1 were used as control, specimens of group 2 were immersed in 50 ml of acidic drink for 1 day, specimens of group 3 were immersed in 50 ml of acidic drink for 7 days. Data were analyzed by Shapiro-Wilk test to assess the normality of the distributions followed by nonparametric Kruskal-Wallis analysis of variance and Mann-Whitney U-test comparison test among groups. A significant level of α = 0.05 was set for comparison between the groups. Mann-Whitn...
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