The Effect of Touch-Cure Polymerization on the Conversion and Hardness of Core Build-Up Resin Composites: A Laboratory Study

To improve the self-curing capacity and interfacial strength with dentine of dual-cured composite materials, touch-cure activators have been introduced. The aim of the study was to evaluate the effect of these activators on the hardness and conversion of dual-cured resin composite core build-up restoratives. The materials tested were Clearfil DC Core Plus (CF) and Gradia Core (GC) with the corresponding adhesives Clearfil S3 Bond Plus (for CF) and G-Premio Bond/G-Premio DCA activator (for GC). Disk-shaped specimens (n = 6/group) were prepared for the following groups: dual-cured, self-cured and self-cured in contact with the adhesive activators at the bottom surface. After a 3-week storage period (dark/dry/37 °C) the Martens hardness (HM) and degree of conversion (DC%) were determined for the previously mentioned groups and the top surfaces of groups in contact with the adhesives. A statistical analysis was performed by a one-way ANOVA and Holm–Sidak test per material and a Pearson’s correlation analysis (HM vs. DC%) at an α = 0.05. The self-cured specimens resulted in significantly lower HM and DC% values from the dual-cured group, as expected. However, in the presence of the adhesives with touch-cure activators, the conversion of the self-cured groups showed insignificant differences in HM and DC% from the dual-cured in both composite materials. The improvements on the bottom composite surfaces in contact with the adhesives did not extend to the entire specimen length. Nevertheless, improved interfacial curing may improve interfacial durability.

Characterization of Methacrylate-Based Resins Containing Methacryl-Polyhedral Oligomeric Silsesquioxanes (MA-POSS-8)

The use of functionalized dental adhesives that might prevent degradation of the dentin hybrid layer has been proposed. The aim of the study was to characterize the physicochemical properties and the potential to induce mineral precipitation of methacrylate-based resins containing methacryl-functionalized polyhedral oligomeric silsesquioxane (MA-POSS-8). In total, six different compositions of resins based on bisphenol A glycerolate dimethacrylate (BisGMA, 40 to 60 wt.%), triethylene glycol dimethacrylate (TEGDMA, 5 to 35 wt.%) and 2-hydroxyethyl methacrylate (HEMA, 25 or 35 wt.%) were prepared and infiltrated with 5 wt.% MA-POSS-8. Unfilled resins served as control. Degree of conversion, viscosity, Martens hardness, indentation modulus, water sorption, and sol fraction were investigated. Polymerized specimens were examined by SEM/EDX for the presence of Ca/P precipitates after immersion in artificial saliva for 28 days at 37 °C. Statistical analysis was performed with two-way ANOVA and Tukey’s post-hoc test (p < 0.05). The degree of conversion ranged from 55.0 to 59.8% and was not affected by the addition of MA-POSS-8. Viscosity ranged from 60.0 to 422.3 mPa*s and was not affected by MA-POSS-8 except for one methacrylate-based resin with 60 wt.% BisGMA. Martens hardness and indentation modulus ranged from 161.3 to 138.1 N/mm2 and 4.2 to 3.9 kN/mm2 and were affected by MA-POSS-8 in only one resin (50 wt.% BisGMA, 25 wt.% TEGDMA, 25 wt.% HEMA). Water sorption was not affected by MA-POSS-8; sol fraction was below the detection limit. Formation of Ca/P precipitates was observed on all specimens of test and control groups. Material properties were not affected adversely by MA-POSS-8 except for slight differences in Martens hardness, indention modulus, viscosity in some groups. However, bioactive properties could not be improved by MA-POSS-8.

Mapping of the Micro-Mechanical Properties of Human Root Dentin by Means of Microindentation

The extensive knowledge of root dentin’s mechanical properties is necessary for the prediction of microstructural alterations and the teeth’s deformations as well as their fracture behavior. Standardized microindentation tests were applied to apical, medial, and cervical root sections of a mandibular human first molar to determine the spatial distribution of the hard tissue’s properties (indentation modulus, indentation hardness, Martens hardness, indentation creep). Using an indentation mapping approach, the inhomogeneity of mechanical properties in longitudinal as well as in transversal directions were measured. As a result, the tooth showed strongly inhomogeneous material properties, which depended on the longitudinal and transversal positions. In the transversal cutting planes of the cervical, medial, apical sections, the properties showed a comparable distribution. A statistical evaluation revealed an indentation modulus between 12.2 GPa and 17.8 GPa, indentation hardness between 0.4 GPa and 0.64 GPa and an indentation creep between 8.6% and 10.7%. The established standardized method is a starting point for further investigations concerning the intensive description of the inhomogeneous mechanical properties of human dentin and other types of dentin.

Changes in Roughness and Mechanical Properties of Invisalign® Appliances after One- and Two-Weeks Use

The aim of this study was to estimate the possible changes of surface roughness and the mechanical properties of Invisalign® appliances over one- and two-week of service. Forty appliances with attachments were retrieved after the end of orthodontic treatment from different patients. Half of them had been used for one week (1W), and the rest for two weeks (2W). Ten unused Invisalign® appliances were used as the control (CON). An equal number of teeth possessing attachments were cut of aligners deriving from all groups (1W, 2W, and CON), and the Sa, Sq, Sz, Sc, and Sv roughness parameters of the internal surface of the aligner attachment area and the opposite lingual side (which was in contact to enamel) were determined by optical profilometry. Then, ten first molars originating from all groups were embedded in acrylic resin, and were ground and polished. Instrumented indentation testing (IIT) was performed in order to determine the Martens hardness (HM), indentation modulus (EIT), and relaxation index (RIT), according to ISO 14577-2002. The produced data were statistically processed by one- or two-way analysis of variance (ANOVA) and multiple comparison post-hoc tests (a = 0.05). Both the surface roughness and mechanical properties of the retrieved groups (1W and 2W) showed statistically significant differences compared with CON, but without statistically significant differences between each other. The roughness variables of the as-received material were shown to be reduced after intraoral service demonstrating a wear effect. Ageing has a detrimental effect on the surface roughness and mechanical properties of Invisalign® appliances, although this effect is restricted to the first week of clinical usage.