This study aims to evaluate the physical properties of Cention N and various glass-ionomer-based materials in vitro. The groups were obtained as follows: Group 1 (LC-Cent): light-cured Cention N; Group 2 (SC-Cent): self-cured Cention N; Group 3 (COMP): composite (3M Universal Restorative 200); Group 4 (DYRA): compomer (Dyract XP); Group 5 (LINER): Glass Liner; Group 6 (FUJI): FujiII LC Capsule; and Group 7 (NOVA): Nova Glass LC. For the microtensile bond strength (μTBS) test, 21 extracted human molar teeth were used. The enamel of the teeth was removed, and flat dentin surfaces were obtained. Materials were applied up to 3 mm, and sticks were obtained from the teeth. Additionally, specimens were prepared, and their flexural strength and surface roughness (Ra) were evaluated. Herein, data were recorded using SPSS 22.0, and the flexural strength, μTBS, and Ra were statistically analyzed. According to the surface roughness tests, the highest Ra values were observed in Group 6 (FUJI) (0.33 ± 0.1), whereas the lowest Ra values were observed in Group 2 (SC-Cent) (0.17 ± 0.04) (p < 0.05). The flexural strengths of the materials were compared, and the highest value was obtained in Group 2 (SC-Cent) (86.32 ± 15.37), whereas the lowest value was obtained in Group 5 (LINER) (41.75 ± 10.05) (p < 0.05). When the μTBS of materials to teeth was evaluated, the highest μTBS was observed in Group 3 (COMP) (16.50 ± 7.73) and Group 4 (DYRA) (16.36 ± 4.64), whereas the lowest μTBS was found in Group 7 (NOVA) (9.88 ± 1.87) (p < 0.05). According to the μTBS results of materials-to-materials bonding, both Group 2 (SC-Cent) and Group 1 (LC-Cent) made the best bonding with Group 3 (COMP) (p < 0.05). It can be concluded that self-cured Cention N had the highest flexural strength and lowest surface roughness of the seven materials tested. Although the bond strength was statistically lower than conventional composites and compomers, it was similar to resin-modified glass ionomer cements. Additionally, the best material-to-material bonding was found between self-cured Cention N and conventional composites.
1 January 2017 in Nigerian Journal of Clinical Practice
Pulpotomy is the common therapy for cariously exposed pulps in symptom-free primary molar teeth. For many years, researchers have searched for an ideal material that allows regeneration of the residual pulp. The purpose of this study was to evaluate the efficacy of mineral trioxide aggregate (MTA), Biodentine as a pulpotomy medicament in primary teeth, both clinically and radiographically. A total of 25 children (50 human primary molar teeth) aged between 5 and 9 years were selected in this randomized clinical study. The patients were randomly assigned to receive the pulpotomy medicaments in either [Group 1]: MTA or [Group 2]: Biodentine. All pulpotomized teeth were restored with stainless steel crowns and evaluated clinically and radiologically at 1, 3, 6 and 12 months. Statistical analysis using Mann-Whitney U test and Fisher's exact test, and chi-square test was performed to determine the significant differences between the groups. Clinical and radiological success rates were 96 and 80% in Group 1 and 96 and 60% in Group 2, respectively. There were no significant differences between the groups (P > 0.05). The radiographic success rates decreased in the controls, but there were no significant differences. Biodentine showed similar clinical and radiographic results as MTA in the 12-month evaluation and can be safely used as a pulpotomy medicament.
Due to significant tissue loss in teeth requiring pulp treatments, hermetic restoration of the remaining dental tissues is one of the most crucial factors in determining the treatment’s success. The adhesion of composite resins to calcium silicate cements (CSCs) is considered challenging. Consequently, it is crucial to identify the optimal method for obtaining optimal adhesion. The aim of the present study is to evaluate the shear bond strength (SBS) values of immediate and delayed restorations with fiber-reinforced composites on powder–liquid, premixed, and resin-containing flowable CSCs. In the present study, the SBS values obtained after immediate (14 min) and delayed (7 days) restorations of three different CSCs (NeoMTA2, NeoPutty, and TheraCal PT) with three different resin composite materials (EverX FlowTM, EverX PosteriorTM, and Filtek Z550) were compared. The fracture types were evaluated using a stereomicroscope and SEM. TheraCal PT had the highest SBS values for both immediate and delayed restorations, and the comparison with other materials showed a statistically significant difference (p = 0.001). In contrast, there was no statistically significant difference between the SBS values of NeoMTA and NeoPutty (p > 0.05). In both immediate and delayed restorations, there was no statistically significant difference between nanohybrid and fiber-reinforced composites (p > 0.05). The simple use and strong bonding ability of TheraCal PT with composite resins may provide support for the idea that it is suitable for pulpal interventions. Nevertheless, due to the in vitro nature of this study, additional in vitro and clinical studies are required to investigate the material’s physical, mechanical, and biological properties for use in clinical applications.