OPERATIVE DENTISTRY

Effect of Surface Treatments on Shear-bond Strength of Glass Ionomer Cements to Silver Diamine Fluoride-treated Simulated Carious Dentin
Koh WT, Yeoh OT, Yahya NA and Yap AU
This study investigated the effect of different surface treatments on the shear bond strength (SBS) and failure modes of self-cured (SC) and light-cured (LC) high-viscosity glass ionomer cements (HVGICs) to silver diamine fluoride (SDF)-treated simulated carious dentin (SCD).
Bonding and Cleaning Effects of Irrigation Protocols Using Calcium Hypochlorite on the Post-space Radicular Dentin
Besegato JF, Bravo GR, Zaniboni JF, Belizário LG, de Almeida E, Gelio MB, Escalante-Otárola WG and Kuga MC
This study evaluated the effect of 2.5% sodium hypochlorite (SH) or calcium hypochlorite (CH) submitted to passive ultrasonic irrigation (PUI) or conventional irrigation (CI) on the incidence of residues and the bond strength of the cementation system to post-space dentin. Distilled water (DW) and 2.5% SH followed by 17% EDTA (SH-ED) were used as negative and positive control groups, respectively. The cervical, middle, and apical thirds of the post space were evaluated. One hundred and twenty bovine incisors were endodontically treated and post-space preparation was performed. The specimens were randomly assigned to six groups, according to the solution and irrigation method: DW-CI, SH-ED-CI-SH, SH-CI, SH-PUI, CH-CI, and CH-PUI. The incidence of residues (n=10) over the dentin was evaluated by scores using SEM images. Other specimens were irrigated as previously described and the post cementation was immediately performed using a conventional dual resin cement and a two-step etch-and-rinse adhesive system. Push-out and failure modes were performed for bonding evaluation. Kruskal-Wallis and Dunn test for incidence of residues data and one-way ANOVA and Tukey tests for bond strength data were used at a significance level of 5%. The protocols that showed a lower incidence of residues were: SH-ED-CI-SH, SH-PUI, and CH-PUI for the cervical third and SH-ED-CI-SH for the middle third (p<0.05). In the apical third, the protocols were similar to each other (p>0.05). Bond strength values were higher after irrigation with DW-CI for all thirds (p<0.05). 2.5% sodium or calcium hypochlorite negatively impacted the adhesion interface and exhibited a greater incidence of residues over the post-space radicular dentin.
Enhancing Light-curing Competence: A Study of Radiant Exposure and Training Outcomes Among Dental Students
Imbery TA, Allen AE, Larkin B, Romani I and Carrico C
The aim of this study was to measure radiant exposure and time necessary to deliver 16 J/cm2 of radiant exposure to simulated Class I and Class III preparations by first-year dental students. First-year dental students (n=89) received a 60-minute lecture on light-curing. Using the Managing Accurate Resin Curing Patient Simulator (MARC-PS) and protective blue-light-blocking glasses, students twice light-cured Class I and Class III restorations, using the Valo Grand Cordless light-curing unit with infection-control barriers on both Standard and High Power Plus modes. After their first attempts, if students did not obtain at least 16 J/cm2 of radiant exposure (RE), they received additional instruction. Paired t-tests were used to determine the change between the first and second attempts. After averaging two attempts, radiant exposure and time were compared between Standard and High Power Plus modes within individuals using paired t-tests.
Impact of Battery Levels of a Cordless LED Curing Unit on Resin Cement under Varied Lithium Disilicate Thicknesses and Translucencies
de Azevedo MR, Pacheco RR, Qualhato LB, Dolenkei KK, Soares CJ and Raposo LH
This study aimed to evaluate the impact of battery levels on the emission of a multi-peak cordless LED light-curing unit (LCU) and the effect on the degree of conversion (DC) and Knoop hardness (KH) of a light-cure resin luting agent activated through varying lithium disilicate (LiS2) ceramic thicknesses and translucencies.
Effect of Battery Level During Successive Charging Cycles on the Performance of Certified and Low-cost Uncertified Light-curing Units Available on E-commerce
Peres TS, Oliveira G, da Silva Sakamoto SP, da Silva Faria M, Carlo HL and Soares CJ
To evaluate the influence of battery level on power (mW), emission spectrum (mW/cm2/ nm), and light distribution on the active tip (mW/ cm2) of certified (FDA/ANVISA) and low-cost uncertified light-curing units (LCUs) purchased through e-commerce.
Bacterial Adhesion and In Situ Biodegradation of Preheated Resin Composite Used as a Luting Agent for Indirect Restorations
Bezerra A, Gonçalves G, Alves LC, Stamfor T, De Brito O and Monteiro G
To evaluate surface roughness and bacterial adhesion after in situ biodegradation of the cementation interface of indirect restorations cemented with preheated resin composite.
Restoration of Non-carious Cervical Lesions: A Brief Review for Clinicians
Brackett WW, Brackett MG, Pacheco RR, Dudish CG and Beatty MW
Non-carious cervical lesions (NCCLs) become common in individuals over the age of 40 and are progressive. Those that are wedge-shaped in cross-section likely develop hazardous stress concentrations along their sharp axial extent, which can be distributed to lower, safer levels over a larger area via adhesive restoration. Restoration is indicated once a lesion progresses to a minimum restorable axial depth of at least 1.5 mm at the deepest extent, which threatens the strength of the tooth, especially a single-rooted tooth. Restorations with a glass ionomer or resin composite employing an adhesive system that is total-etch or is a self-etching primer combined with selective enamel etching are equally effective. Consequently, the restorative material can be selected based on isolation or esthetic factors.
A Novel Isolation Technique Using Polytetrafluoroethylene Tape and Split Dam Isolation for Cementation in Bridge Restorations
Tsuruta T, Odagiri Y and Tsujimoto A
This case report presents a novel technique for bridge restoration using polytetrafluoroethylene (PTFE) tape and split dam isolation in situations where achieving complete dental dam isolation is challenging.
3D Printed Dual Reduction Guide: A Feasible Alternative for Conservative Gingivectomy and Minimally Invasive Preparation for Ceramic Veneers
Robles M, Jurado CA, Fischer NG, Rojas-Rueda S and Apiazu-Flores FX
This case report describes a digital workflow for designing and 3D printing a guide with the dual purpose of gingivectomy and tooth preparation in the esthetic zone, to be followed by cementation of ceramic veneers under rubber dam isolation.
Is It Possible for Single-shade Composites to Mimic the Color, Lightness, Chroma, and Hue of Other Single-shade Composites? An In Vitro Study
Buldur M and Ayan G
This study aimed to assess color matching post-repair using the same or different single-shade composites of three distinct composite resin materials (Omnichroma-OM, ZenChroma-ZC, and Charisma Topaz One-CTO) following aging in coffee solution and distilled water. Evaluation focused on color change parameters (∆E00, ∆L00, ∆C00, and ∆H00).
Biomechanical and Physical Characteristics of Dental Dam Sheets Used for Absolute Isolation
Lozada M, Junqueira P, Rondón A, Carlo HL and Soares CJ
This study aimed to evaluate the mechanical and physical properties of dental dam sheets used for absolute isolation and to correlate the mechanical parameters with cost.
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The Pursuit of Excellence: Does It Still Matter?
Platt JA
Cover II
Effect of an Additional Hydrophobic Adhesive Layer Application on the Clinical Performance of Class V Resin Composite Restorations: An 18-month Randomized Clinical Trial
Berkman M, Tuncer S, Karabay F, Demirci M, Tekçe N and Baydemir C
This study aimed to evaluate the 18-month clinical performance of two different one-step adhesives that were applied alone or with an additional hydrophobic adhesive layer to noncarious cervical lesions.
Buonocore Memorial Lecture 2023: Longevity of Dental Restorations or Longevity of Teeth: What Matters?
Opdam N, Montagner AF and Cenci MS
This paper aims to raise a discussion from the perspective of maintaining long-term oral health, posing a critical question: What holds greater significance for maintaining oral health, the longevity of restorations or teeth? This question explores the aspects that truly matter in ensuring sustained oral health throughout an individual's life. Restoration longevity is well-researched, and evidence shows several risk factors influencing longevity. The dentist's decision-making factor may be of utmost importance, and further studies are needed to investigate its relevance. The critical risk factors for restoration longevity are active pathology (high caries risk), less prominent parafunction, and extensive defects such as endodontic treatment. However, tooth longevity and the main risk factors for tooth loss are not well-researched. The evidence shows dental caries, and its sequelae, are the principal reasons for tooth loss. Patient-related risk factors, especially those associated with lifestyle and health choices, play a major role in the longevity of restorations and, more importantly, tooth longevity. To provide personalized dental care with maximum patient benefit, clinicians should identify and record potential risk factors, promoting a healthy lifestyle to ensure tooth and dentition longevity. Moreover, the evidence suggests that decision-making frameworks based on minimal intervention principles offer the best standard for clinical practice, promoting a longstanding healthy oral environment.
Erratum
Effectiveness of Three Bleaching Techniques for Endodontically Treated Teeth: A Randomized Clinical Trial
Gaidarji B, Perez BG and Durand LB
Various techniques, products, and protocols are used for the bleaching of non-vital teeth. The walking bleach technique involves sealing the bleaching agent in the pulp chamber. In the inside/outside technique, a low-concentration bleaching agent is applied at home using a custom tray. In the in-office technique, a high-concentration bleaching agent is applied by a dental professional. Limited research has compared the effectiveness of these techniques.
Accuracy of Color Determination by Intraoral Scanners in Bleached and Unbleached Teeth: A Clinical Study
Kaya BD, Atali PY, Kahramanoĝlu E and Tarçin B
This clinical study aimed to evaluate the color measurement ability of intraoral scanners (Trios 3, (3Shape, Copenhagen, Denmark) and Cerec Omnicam, (Dentsply Sirona, Charlotte, NC, USA) in comparison to VITA Classical and VITA 3D-Master shades obtained by a spectrophotometer (Easyshade V, VITA, Zahnfabrik, Bad Säckingen, Germany).
Effects of UV Postcuring Times on the Color Stability, Surface Properties and Conversion of 3D-printed Temporary Resin Composites
de Sousa LC, Pereira A, Curinga M, de Souza B, Batista A, Borges B and Carreiro A
To evaluate the effects of UV postcuring times on color stability (CS), surface properties (wettability [°] and surface roughness [Ra]), and conversion of 3D-printed resins for temporary restorations.
Optimal Hydrofluoric Acid Etching Duration and Impact of Silane/Adhesive on Profilometric Properties and Bonding to Lithium Disilicate Glass Ceramics
Porto TS, Faddoul AJ, Park SJ, Feitosa VP, Eyüboğlu TF and Ozcan M
This study aimed to assess the surface roughness, surface free energy (SFE), and shear bond strength (SBS) on a lithium disilicate glass-ceramic surface following varying etching protocols (time variation) and application of silane either with or without adhesive material.