Dental Materials Research Articles

Microhardness and characterization of human dental tissue after application of enzymatic chemical agents: In vitro study.

The use of enzymatic chemical agents are papain-based materials used in the selective removal of decayed dentin tissue, assisting in conservative techniques and reducing the chances of accidental pulp exposure. A research protocol was subjected to and approved by an Ethics Committee. Using a reporting guide for laboratory studies (CRIS). Healthy human teeth comprised the produced dentin discs subjected to polishing and washing in an ultrasonic bath. Next, the discs received material application according to the experimental groups: water-soluble gel for two minutes, 37% phosphoric acid for 15 seconds in dentin and 30 seconds in enamel, Papacárie Duo (PD) for 30 seconds and two minutes, and Brix 3000 (BX) for two minutes and 30 seconds. The measurement of material pH used solutions at concentrations of 0.1 ml and 2.7 ml prepared for each enzymatic agent. Then, a bench pH meter (n=10) and pH indicator strips determined pH values. The discs underwent the Knoop hardness test (n=10). The sample calculation was performed using the GPower software with α = 0.05, effect 0.63 and power of 95%. Descriptive statistical analysis was carried out for pH, one way ANOVA supplemented by Tukey for knoop hardness and Spearman correlation for pH measurement techniques. The enamel hardness findings indicated that, after material application, ECAs do not statistically differ from water-soluble gel (p<0.05). The dentinal hardness analysis presented a statistical difference in phosphoric acid from the other groups (p<0.05). In the pH test, BX values were lower (4.37 ± 0.01) than PD (4.85 ± 0.06). The groups statistically differed (p<0.05). ECAs for removing decayed dentin tissue did not significantly alter the hardness of enamel and dentin, removal of the smear layer is time-dependent and presents acidity. Key words:Dental caries, Hardness, Dental materials, Papain.

Are we approaching the development of a novel calcium phosphate-based bioceramic dental material?

ObjectivesDevelop a sustainable bovine hydroxyapatite dental ceramic with the addition of titanium dioxide (TiO2) nanoparticles (5 % and 8 % by weight), analyzing the outcome of this addition to the microstructure, as well as its mechanical and chemical properties, in order to evaluate whether they satisfy the International Organization for Standardization (ISO) 6872:2015 for dental ceramics or not. MethodsDisks were obtained through uniaxial followed by isostatic pressing from bovine hydroxyapatite powder and TiO2 nanoparticles and sintered at 1300ºC for 2 h. Three experimental groups were developed (HA, HA+5 %TiO2 and HA+8 %TiO2) and subjected to X-ray diffraction (XRD), scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), indentation fracture (IF), biaxial flexural strength (BFS) and chemical solubility test. ResultsXRD revealed, for HA group, the appearance of a peak corresponding to b-tricalcium phosphate (ß-TCP). For HA+ 5 %TiO2 and HA+ 8 %TiO2, the entire composition was converted into ß-TCP and calcium titanate (CaTiO3). The SEM images showed a dense ceramic matrix and a uniform distribution of another phase in groups with TiO2 nanoparticles. HA+ 5 %TiO2 (1.40 ± 0.18 MPa.m1/2) and HA+ 8 %TiO2 (1.32 ± 0.18 MPa.m1/2) showed significantly higher fracture toughness values than HA (0.67 ± 0.09 MPa.m1/2). HA showed significantly higher characteristic stress (295.8 MPa) in comparison to groups with 5 % (235.1 MPa) and 8 % (214.4 MPa) TiO2 nanoparticles. Differences were not observed between the Weibull modulus values. The solubility results indicated that all experimental ceramics were above the 2000 ug/cm2 limit set by the ISO 6872:2015. SignificanceThis study proposed the development and characterization of a new ceramic for dental prosthesis made from HA extracted from bovine bones, with the intention of reusing these solids waste and transforming them into a sustainable and low-cost material. Although the experimental calcium phosphate ceramic with additions of 5 % and 8 % of TiO2 achieved desirable mechanical properties, the chemical solubility values were very high.

Assessing the Color Stability of Polymethyl Methacrylate (PMMA) Dental Restorations Polished With a Novel Polishing Agent Derived From Pulverized Old Alginate Impressions.

Interim restorations are essential in restorative dentistry, serving as temporary solutions until permanent restorations can be placed. Polymethyl methacrylate (PMMA) is a promising solution for customizing teeth for removable dentures to match the exact requirements of patients. The color stability of these restorations is critical for patient satisfaction. PMMAis a widely used material for interim restorations due to its favorable properties. The study compares the color stability of PMMA interim restorations polished using traditional pumice versus Algishine, a novel polishing agent derived from pulverized old alginate impressions. The 3-D design software Geomagic Design X (3D Systems, Rock Hill, CA) created a standard tessellation language file of 2-cm radius circles. Sixty PMMA samples were milled and divided into two groups of 30 each. Group A samples were polished using pumice, while group B samples were polished with Algishine. Baseline color measurements were taken using a spectrophotometer (VITA Easyshade V, VITA Zahnfabrik, Bad Säckingen, Germany). The samples were then subjected to staining with coffee, tea, and red wine solutions for 30 days, simulating oral conditions. Post-staining color measurements were taken, and color changes (ΔE) were calculated at the seven-day (t1) and one-month (t2) mark. The Shapiro-Wilk test assessed normality, followed by a two-way ANOVA testto compare color change values at different time points. At t1 (seven days), there were no significant differences between groups A and B in the coffee and tea staining groups. However, significant differences were observed in red wine staining, with group B exhibiting lower ΔE values (0.14 ± 0.067) compared to group A (0.38 ± 0.076) (p < 0.01). At t2 (30 days), significant differences were noted in all staining groups. Group B consistently showed lower ΔE values: coffee (0.125 ± 0.084 vs. 0.236 ± 0.015, p < 0.01), tea (0.254 ± 0.087 vs. 0.391 ± 0.015, p < 0.01), and red wine (1.174 ± 0.045 vs. 1.309 ± 0.074, p < 0.01), indicating superior resistance to staining compared to group A. The results suggest that Algishine is more effective than pumice in maintaining the color stability of PMMA interim restorations. The novel polishing agent derived from old alginate impressions enhances esthetic longevity and provides an eco-friendly solution for recycling dental material waste. Algishine performs superiorly in preserving the color of PMMA interim restorations against common staining agents. Its application can potentially improve patient satisfaction and contribute to sustainable dental practices.

Reviewing dental materials: Progresses for oral health and restoration

The field of density has made great progress in the modern era, especially in the aspects of developing a variety of novel materials that are used to repair teeth. Compared to traditional c, novel dental restorative materials are devoted to combining practicality and aesthetics, which are under the full consideration of the demands of patients. The emphasis of this review lies in the comparison of different novel dental restorative materials by providing their principles, benefits, disadvantages, and applications. The main advanced materials in this area that are chosen to be researched in this review are Ultra-High Molecular Weight Polyethylene Nanocomposites, Zirconia-based Composites, Activa Bioactive Restorative, Hydroxyapatite Restoration Materials, Bioprinting Materials, as well as Biomimetic and Tooth Surface Regeneration Materials. Researchers need to innovate in dental restorative materials with continuous pursuit. As these novel materials rapidly develop and are taken actions into application, they have a positive influence on dentistry. Our work involving studies of novel dental restorative materials provides patients with more practical and aesthetic therapy suggestions.

Характеристики эласмоидной чешуи рыб и ее фракций, по данным ИК-Фурье-спектроскопии

Elasmoid scales of pike-perch (Sander lucioperca), white amur (Ctenopharyngodon idella), carp (Cyprinus carpio), freshwater bream (Abramis brama) and crucian carp (Carassius carassius) were processed without hydrolysis by “dry” method in order to study the characteristics of the obtained finished product, which determine its further use as additives for food and other purposes. The essence of the method consisted in washing the scales, its subsequent drying, grinding and separation, with obtaining two fractions enriched with both organic (cotton-like product) and inorganic (powder) components. FT-IR spectroscopy was used to characterize the scale samples and their enriched fractions. Characteristic bands known for collagen, in particular for Amide I, Amide II, Amide III, Amide A, were observed in the IR spectra of all the samples studied. The bands (inorganic part) at ~1022 cm–1 and at ~599 cm–1 indicate valence asymmetric vibrations of PO43– groups. Numerous bands for all experimental samples in the wavelength region 3900-3500 cm–1 can be caused by vibrations of OH groups, which is associated with the presence of water in the tested samples. Comparison of the absorption intensity in the region of characteristic frequencies of collagen and hydroxyapatite calculated by the IR method can be one of the approaches for the development of a rapid method for the determination of their quantitative content in fractions obtained from fish scales. Organic and mineral additives from fish scales can be recommended as components of formulations of various food products, as well as raw materials in tissue engineering, orthopedics and dentistry.

Applications of Bioactive Strontium Compounds in Dentistry.

Divalent cations have captured the interest of researchers in biomedical and dental fields due to their beneficial effects on bone formation. These metallic elements are similar to trace elements found in human bone. Strontium is a divalent cation commonly found in various biomaterials. Since strontium has a radius similar to calcium, it has been used to replace calcium in many calcium-containing biomaterials. Strontium has the ability to inhibit bone resorption and increase bone deposition, making it useful in the treatment of osteoporosis. Strontium has also been used as a radiopacifier in dentistry and has been incorporated into a variety of dental materials to improve their radiopacity. Furthermore, strontium has been shown to improve the antimicrobial and mechanical properties of dental materials, promote enamel remineralization, alleviate dentin hypersensitivity, and enhance dentin regeneration. The objective of this review is to provide a comprehensive review of the applications of strontium in dentistry.

Thermovisiographic Study of Epicutaneous Testing with Dental Haptens in Different Concentrations

Dental haptens are used to study sensitization to their respective dental materials. The concentration of haptens is important for the diagnostic process, as different concentrations lead to different severity of skin reactions. The aim of the study was to examine the dermal reactivity to 15 dental haptens in two different concentrations after the Patch test, by thermal imaging and calculating the temperature parameters of the respective reactions. The present study included 15 haptens from five different categories of dental materials, each with two different concentrations, with the objective to examine the results ensuring the Patch test. Thirty-three patients were included in the study. A total of 990 skin reactions were observed. They were subject to standard and thermal imaging evaluation. Approximately 5% of reactions were positive. The thermovisiographic indicator `dT' confirms the results of the standard readings, as its values vary from 0 to 0.8 ⁰C in the case of positive reactions. The study observed no significant differences in the results based on gender, both in the standard and in the thermal imaging examination. The study also confirms that it is necessary to apply certain concentrations of each hapten depending on its nature.

Enhancing the Antimicrobial Properties of Experimental Resin-Based Dental Composites through the Addition of Quaternary Ammonium Salts.

Secondary caries is one of the main reasons for dental filling replacement. There is a need to obtain dental restorative material that is able to act against caries-inducing microorganisms. This study explores the antimicrobial properties of cetyltrimethylammonium bromide (CTAB) or dimethyldioctadecylammonium bromide (DODAB)-modified photo-cured experimental dental composites against Escherichia coli, Streptococcus mutans, and Candida albicans. The antimicrobial activity against Escherichia coli, Streptococcus mutans, and Candida albicans was assessed by using an Accuri C6 flow cytofluorimeter, and then analyzed using BD CSampler software (1.0.264). Bacterial/yeast surface colonization was carried out by using an GX71 inverted-optics fluorescence microscope equipped with a DP 73 digital camera. For bactericidal surface analysis of each sample type, simultaneous standardization was performed using a positive control (live cells) and a negative control (dead cells). A positive correlation between the increasing concentration of CTAB or DODAB and the dead cell ratio of Escherichia coli, Streptococcus mutans, and Candida albicans was revealed. In particular, CTAB at a 2.0 wt% concentration exhibits superior efficiency against pathogens (65.0% dead cells of Escherichia coli, 73.9% dead cells of Streptococcus mutans, and 23.9% dead cells of Candida albicans after 60 min). However, Candida albicans is more resistant to used salts than bacteria. A CTAB- or DODAB-modified experimental dental composite exhibits antimicrobial potential against Escherichia coli, Streptococcus mutans, and Candida albicans after 10 and 60 min of incubation, and the antimicrobial efficiency increases with the wt% of QAS in the tested material.

Mechanically Stable and Biocompatible Polymer Brush Coated Dental Materials with Lubricious and Antifouling Properties.

Surface modification plays a crucial role in enhancing the functionality of implanted interventional medical devices, offering added advantages to patients, particularly in terms of lubrication and prevention of undesired adsorption of biomolecules and microorganisms, such as proteins and bacteria, on the material surfaces. Utilizing polymer brushes for surface modification is currently a promising approach to maintaining the inherent properties of materials while introducing new functionalities to surfaces. Here, surface-initiated atom transfer radical polymerization (SI-ATRP) technology to effectively graft anionic, cationic, and neutral polymer brushes from a mixed silane initiating layer is employed. The presence of a polymer brush layer significantly enhances the lubrication performance of the substrates and ensures a consistently low coefficient of friction over thousands of friction cycles in aqueous environments. The antimicrobial efficacy of polymer brushes is evaluated against gram-positive Staphylococcus aureus (S. aureus) and gram-negative Escherichia coli (E. coli). It is observed that polym er brushes grafted to diverse substrate surfaces displays notable antibacterial properties, effectively inhibiting bacterial attachment. Furthermore, the polymer brush layer shows favorable biocompatibility and anti-inflammatory characteristics, which shows potential applications in dental materials, and other fields such as catheters and foodpackaging.

Water Sorption and Solubility of Highly Aesthetic Single-Shade Nano-Hybrid Resin Composites.

Background A single-shade resin composite is a new type of resin composite that was introduced in 2019. There is not much data regarding the water sorption (Wsp) and water solubility (Wsl) of this type of resin composite. Therefore, this study aimed to investigate Wsp and Wsl and their effects on the surface roughness of a single-shade nano-hybrid resin composite in comparison with a conventional nano-hybrid resin composite in accordance with ISO 4049:2019 (Dentistry - Polymer-based Restorative Materials). Material and methods An in vitro study was performed to investigate the Wsp and Wsl of a single-shade supra-nano-hybrid composite (Omnichroma) and a conventional nano-hybrid composite (Filtek™ Z250 XT) in accordance with ISO 4049:2019. Five disks were prepared of each material with dimensions of 15 ± 1 mm in diameter and 1 ± 0.1 mm in thickness, as per ISO 4049:2019. The results were calculated according to the ISO equations for Wsp and Wsl in µg/mm3. Atomic force microscopy (AFM) was used to analyze the surface roughness (Ra) of test specimens. Results The findings showed that the values of Wsl and Wsp of both materials are comparable and revealed no statistically significant difference (P > 0.05). The AFM images showed a higher Ra post-solubility testing, and the statistical analysis indicated a significant difference for both materials. Conclusions The study concluded that the single-shade resin composite (Omnichroma) and the conventional nano-hybrid composite (Filtek™ Z250 XT) are following the requirements of ISO 4049:2019. The AFM analysis indicated that resin composite surfaces are significantly affected when exposed to water for a prolonged period of time. However, the Ra variations of Filtek™ Z250 XT were higher than Omnichroma specimens. These results indicate that resin composite surfaces can be significantly impacted by prolonged water exposure. This knowledge is critical for enhancing the long-term clinical performance and durability of these dental restorative materials.

Maximizing dental composite performance: Strength and hardness enhanced by innovative polymer-coated MgO nanoparticles

IntroductionZein-incorporated magnesium oxide nanoparticles (zMgO NPs) can influence the mechanical properties of dental materials. However, the effect of this addition on the mechanical properties of resin composite has yet to be investigated. The objective of this study was to add various concentrations of zMgO NPs to conventional, flowable, and bulk-fill composite and assess the effect on the compressive strength, flexural strength, and microhardness. Methodology150 samples each of conventional composite, flowable composite, and bulk-fill composite (n = 450) were enhanced with concentrations of zMgO NPs at 0 %, 0.3 %, 0.5 %, 1 %, and 2 % (n = 30). 10 samples of each group were randomly allotted to the compressive strength, flexural strength, or hardness test. Characterization of the specimens was performed by X-ray diffraction, Fourier transform infrared spectroscopy, scanning electron microscopy, energy-dispersive X-ray spectroscopy, and transmission electron microscopy. Two-way ANOVA test was used to compare between groups, and one-way ANOVA followed by Tukey's test was done at p = 0.05 to determine significance. ResultsCharacterization yielded a uniform distribution of nanoparticles in the matrix and the formation of a new hybrid composite that maintained its properties. Composite of all types enhanced with 0.3 % and 0.5 % zMgO NPs demonstrated a statistically significant increase in compressive strength, flexural strength, and hardness when compared to the control (p < 0.05). The bulk-fill composite with zMgO NPs concentrations of all groups demonstrated a statistically significant increase (p < 0.05) in hardness when compared to the control. ConclusionThe modified composites’ compressive strength, flexural strength, and hardness improved or remained consistent. Clinical significanceAn improved dental resin composite will enhance the quality of care and patient experience. The augmented strength and hardness of resin composite is desirable in prolonging the durability of the restoration.

Enhancing Esthetics in Direct Dental Resin Composite: Investigating Surface Roughness and Color Stability.

Dental restorations must replicate the natural appearance of teeth while ensuring biocompatibility and durability. This study evaluated the surface characteristics and color stability of three dental composites-Herculite Ultra XRV, G-ænial A'CHORD, and Omnichroma-exposed to acidic beverages (red wine, black coffee, and Coca-Cola). Sixty disk-shaped specimens were prepared, polished, and immersed in these beverages. Surface roughness was assessed using profilometry and SEM analysis, hydrophobicity via contact angle analysis, and surface charge through streaming potential measurements. Color stability was evaluated using a spectrophotometer, and the pH levels of the solutions were recorded. Results showed that Herculite Ultra XRV had the highest mean contact angle (79.46° ± 6.52), indicating superior hydrophobicity, while Omnichroma had the lowest (64.94° ± 3.08), indicating more hydrophilicity. Significant color changes were observed, especially in black coffee, with ∆E values indicating notable discoloration. The acidic pH of the solutions increased surface roughness and color changes. Statistical analyses confirmed significant increases in surface roughness and color change for all composites, with the nanohybrid resin composite showing the greatest variability. These findings highlight the need for dental restorative materials with enhanced resistance to acidic environments to improve the longevity and esthetics of dental treatments.

Novel quinoline photoinitiators for dimethacrylate monomer photopolymerization under UV and blue light

Composite resins based on methacrylated monomers are the main materials for dental restorations, however, incomplete polymerization and leaching have been identified as the major problems in this process, highlighting the importance of a search for new photoinitiating materials with improved properties and, therefore, can produce cheaper and stronger polymers with reduced toxicity. In this work, two novel quinoline derivatives were evaluated to obtain dimethacrylate-based polymers. Here we present the synthesis and characterization of a quinoline derivative containing a hydroxyl group and another containing a methacrylate group, as type II photoinitiator materials for UDMA-based resins polymerization. The photoinitiators were analyzed through photolysis (at two distinct wavelengths) and theoretical calculations were performed via a DFT-based approach, to provide a better understanding of the photoexcitation process of quinoline-based photoinitiators. The thermal stability, mass loss rate and glass transition of the generated polymers and the quinoline photoinitiators were analyzed via TG-DTA and DSC. The morphological characteristics of final polymerized compounds were performed with scanning electron microscopy. The water sorption and solubility were also investigated. Our results indicate that hydroxyl-containing quinoline promotes an efficient photopolymerization of UDMA resin precursors under blue light (65.9 %), while methacrylate-containing quinoline presents higher conversions under ultraviolet irradiation (66.3 %). The polymerization of the compounds presented 40 % to 66 % conversion under 60 s, comparable to the camphorquinone standard at the same conditions. The polymer of UDMA with hydroxyl-containing quinoline, showed a slightly higher water sorption than the methacrylate-containing one and both indicate no solubility in water at 37 °C. Overall, the results show that quinoline-based photoinitiators present an efficient photopolymerization of UDMA and produce fluorescent polymers, similarly to commonly used resin materials.

Does dental material type influence bacterial adhesion under the same polishing conditions? Direct observation using a fluorescent staining technique: An in vitro study.

Highly polished 3, 4, and 5 mol% yttria-stabilized zirconia and CAD/CAM composite resin samples were prepared, and the influence of surface roughness (Ra and Sa, 21 areas/group), wettability (contact angle and surface energy, 3 samples/group), and surface chemical composition (2 samples/group) on single-strain bacterial adhesion models (Porphyromonas gingivalis, Streptococcus oralis, Streptococcus sanguinis, Streptococcus gordonii, and Streptococcus mutans) were compared via fluorescent staining with graphical analysis (21 areas/group). Statistical analysis was performed using the Shapiro-Wilk test followed by one-way analysis of variance with Tukey's test or the Kruskal-Wallis test with Dunn's test (α=0.05) and linear regression. For dental zirconia with the same surface roughness, the yttria content did not significantly influence the initial bacterial adhesion. However, higher bacterial adhesion was detected for the composite resin owing to its high C, O, and Si contents. There was no correlation between surface energy and bacterial adhesion for any bacterial strain (p<0.005).

Use of autologous tooth-derived material as a graft in the post-extraction socket. Split-mouth study with radiological and histological analysis

BackgroundThe healing process after tooth removal involves bone remodelling which implies some loss of alveolar bone volume. Among materials proposed for minimising this remodelling and preserving the bone, autologous dental tissue is a promising option, but more data are needed. In this context, we evaluated size and density changes using cone beam computed tomography in autologous dental material (ADM)-preserved sockets compared to controls, and assessed biological responses by histological analysis.MethodsA split-mouth study was conducted including 22 patients, who underwent removal of ≥ 2 single-rooted teeth with intact sockets, assigning one socket to the experimental group which received ADM for alveolar preservation and another to the control group, which only underwent blood clot stabilisation. Cone beam computed tomography was performed postoperatively (week 0) and at weeks 8 and 16 to assess socket size and bone density. Histological analysis was carried out on trephine biopsies taken (Ø4 × 4.5 mm) from the experimental group.ResultsLess horizontal shrinkage was observed in the ADM group, especially at week 16 considering the group-by-time interaction for the following variables: difference in height between the lingual and buccal alveolar crests (-1.00; p < .01; 95% CI: -0.28 – -1.73), and half-widths, measured as the distance from the long axis of the missing tooth to the buccal alveolar crest at 1 mm (-0.61; p < .01; 95% CI: -0.18 – -1.04) and at 3 mm (-0.56; p < .01; 95% CI: -0.15 – -0.97) below the crest, with mean decreases of 1.07 and 2.14 mm in height difference, 0.66 and 1.32 mm in half-width at 1 mm and 0.43 and 1.02 mm in half-width at 3 mm in ADM and control groups respectively. Densitometry analysis showed higher bone densities in Hounsfield units in the ADM group considering all factors analysed regardless of time point and socket third (coronal, middle, or apical). Histologically, there were no signs of inflammation or foreign body reaction, and dentin particles were surrounded by and in close contact with bone tissue.ConclusionThese results add to the evidence that dentin can be used successfully as a material for alveolar socket preservation, given its desirable mechanical and biological properties, and warrant larger studies.

Evaluation of various monofunctional monomers for the development of fracture tough dental materials exhibiting a low crosslink density

3D printing of fracture tough dental materials that additionally exhibit excellent mechanical properties is challenging. Nowadays, most of the 3D printing dental materials contain a mixture of highly reactive dimethacrylates. The corresponding printed materials exhibit a high crosslink density and are particularly brittle. They are therefore not suitable for additive manufacturing of fracture tough denture bases. Recently, an efficient technology based on the combination of a urethane dimethacrylate macromonomer with a monofunctional monomer and a poly(ɛ-caprolactone)-polydimethylsiloxane-poly(ɛ-caprolactone) triblock copolymer was developed. Materials exhibiting a low crosslink density, excellent mechanical properties, and high fracture toughness were obtained. In this article, further developments of this highly efficient technology are described. A wide range of monofunctional monomers (both methacrylates and acrylates) was evaluated in this system. It was shown that the structure of the selected monofunctional monomer has a strong influence on the mechanical properties (flexural strength and modulus) as well as on the fracture toughness of the light cured materials. Thanks to the formation of nanostructures, a strong increase of fracture toughness was obtained upon addition of the toughening agent (poly(ɛ-caprolactone)-polydimethylsiloxane-poly(ɛ-caprolactone) triblock copolymer). The most promising materials were the ones based on the following monofunctional monomers: 2-phenoxyethyl methacrylate, (octahydro-4,7-methano-1H-indenyl)methyl acrylate, isobornyl acrylate, tetrahydrofurfuryl methacrylate and 4-tert-butylcyclohexyl acrylate. Indeed, these materials exhibited excellent mechanical properties (90.0 ± 3.8 MPa < flexural strength < 102.6 ± 4.7 MPa; 2402 ± 90 MPa < flexural modulus < 2714 ± 68 MPa) combined with high fracture toughness (1.89 ± 0.06 MPa m1/2 ≤ maximum stress intensity factor (Kmax) ≤ 2.18 ± 0.08 MPa m1/2; 418 ± 14 J m−2 ≤ work of fracture (Wf) ≤ 591 ± 25 J m−2). The measured Kmax and Wf were even significantly higher than the values reported for Probase Hot (Kmax = 1.44 ± 0.18 MPa m1/2; Wf = 270 ± 30 J m−2), a clinically proven and well-established PMMA based denture base material from Ivoclar. The successful DLP 3D printing of a monoblock denture using the most promising formulation confirmed the great potential of this technology for the development of 3D printing fracture tough denture bases.

Colonization of construction materials by microbial flora of the oral cavity and its significance for prosthetics

Today there is no unified personalized approach to the selection of construction materials in orthopedic dentistry, hence it is necessary to introduce and further study the effect of construction materials on the microbiota of the oral cavity. In particular, principles of microbial adhesion to various construction materials, development of biofilm and bacterial colonization of concrete construction materials need to be analysed. The article provides a review of literature devoted to the description of the adhesive properties of oral microbiota to orthopedic materials from the groups of polymers, metals and ceramic constructions as well as the development of the negative impact of the construction material on the microbiota of a particular group of teeth and the general condition of the microflora of the oral cavity, increase of the risks of dental plaque formation, biofilms formation and a shift of microflora towards the predominance of cariogenic one.

Polymer-Based Hydroxyapatite-Silver Composite Resin with Enhanced Antibacterial Activity for Dental Applications.

The primary objective of this investigation was to synthesize a resin incorporating nanoparticles of hydroxyapatite and silver (HA-NpsAg) to enhance biocompatibility and antimicrobial efficacy, thereby facilitating potential implementation within the dental industry. These enhancements aim to ensure reliable, durable, functional, and aesthetically pleasing restorations while concurrently reducing susceptibility to bacterial colonization within the oral cavity. Hydroxyapatite powders were prepared using the sol-gel method and doped with silver nanoparticles obtained by chemical reduction. The crystalline amorphous calcium phosphate powder had a particle size of 279 nm, and the silver nanoparticles had an average diameter of 26.5 nm. Resin spheres containing HA-NpsAg (RHN) were then synthesized at two concentrations (0.5% and 1%) by dissolving the initial monomer mixture in tetrahydrofuran. Subsequent antimicrobial evaluations were conducted via agar diffusion and turbidimetry, employing three strains of Gram-negative bacteria (E. coli, K. oxytoca, and P. aeruginosa) and three strains of Gram-positive bacteria (S. mutans, S. aureus, and B. subtilis). The findings revealed that P. aeruginosa exhibited maximum susceptibility to RHN powder at a concentration of 0.5%, while RHN powder at 1% concentration demonstrated maximal inhibition against S. aureus and S. mutans. Overall, our study highlights the successful synthesis of a dental resin with hydroxyapatite and silver nanoparticles, exhibiting bactericidal properties at low silver concentrations. These findings hold promise for enhancing dental materials with improved antimicrobial efficacy and clinical performance.

Electrochemical responses and surface degradation analyses alumina and feldspar dental materials in acidic environments: A comprehensive in vitro study

This in vitro study examines the electrochemical responses and surface degradation of alumina and feldspar dental ceramic materials in acidic environments using cyclic polarization and electrochemical impedance spectroscopy (EIS). Alumina and feldspar demonstrate balanced responses in both Fusayama Artificial Saliva and acidic solutions, indicating effective passivation. SEM/EDX analyses after 168-h immersion reveal significant elemental variations, suggesting complex surface phenomena and chemical reactions leading to oxide layer formation. Alumina exhibits increased Si, O, Al, Na, K, and C counts, while feldspar shows increased Si, O, Al, Na with reduced C and Ca levels, indicating complex reactions. Immersion induces notable elemental composition modifications, with alumina showing remarkable corrosion resistance and feldspar undergoing selective dissolution. This study provides insights into the electrochemical and surface degradation of these materials, emphasizing long-term stability and the need for continuous monitoring of protective layer dynamics in future research on corrosion-resistant dental biomaterials.

Comparative Assessment of the Adhesion Forces of Soft Silicone Materials to the Denture Base Material (PMMA) Conditioned with Sandblasting.

In patients undergoing surgery for oral cancer, soft support materials are used to minimise trauma to the soft tissues. Silicone-based liners are widely used in prosthetic dentistry. A prerequisite for long-term Adhesion of the liner to the denture base is largely dependent on the surface preparation of the denture material. The aim of the present study was to investigate whether surface preparation of the acrylic material by sandblasting increases the adhesion of the silicone support material to the acrylic denture plate. The study included adhesion testing of four silicone-based soft cushioning materials (Silagum Comfort, Elite Soft Re-lining, Ufi Gel SC, Mucopren Soft) on a total of 270 samples. Each material was tested on 15 samples. Three subgroups with different surfaces were separated: 1 raw-standard surface treatment with a cutter, and 2 sandblasted, with 100 and 350 µm alumina grain at 90°. The samples were subjected to seasoning: 24 h and six weeks. The adhesion force of silicone to acrylic was measured by performing a tensile test using a universal two-column testing machine. The highest bond strength was recorded for Silagum on the surface prepared using 100 µm abrasive and seasoned for 6 weeks (291.5 N). The smallest among the maximum forces was recorded for the Mucopren material (81.1 N). For the Mucopren system with a raw and sand-blasted surface (350 µm), the adhesion strength increased after six weeks. In contrast, the durability of the joint decreased for the 100 µm sandblasted surface. The Elite material exhibited similar values for maximum forces (271.8 N) and minimum forces (21.1 N). The highest strength (226.1 N) was recorded for the sample from the group prepared with 350 µm abrasive and seasoned for 24 h. The lowest value (72.6 N) occurred for the sample from the group with 100 µm abrasive and seasoned for 6 weeks. Sandblasting of acrylic plastic improves adhesion to selected relining silicones. 2. The size of the abrasive employed has an impact on the adhesion between the acrylic plastic and the bedding silicone. 3. In the case of some relining systems (Mucopren), an increase in roughness through sandblasting has the effect of reducing the durability of the bonded joint.