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Review Article
Current perspectives of bio-ceramic technology in endodontics: calcium enriched mixture cement - review of its composition, properties and applications
Shivani Utneja, Ruchika Roongta Nawal, Sangeeta Talwar, Mahesh Verma
Restor Dent Endod 2015;40(1):1-13.   Published online November 3, 2014
DOI: https://doi.org/10.5395/rde.2015.40.1.1
AbstractAbstract PDFPubReaderePub

Advancements in bio-ceramic technology has revolutionised endodontic material science by enhancing the treatment outcome for patients. This class of dental materials conciliates excellent biocompatibility with high osseoconductivity that render them ideal for endodontic care. Few recently introduced bio-ceramic materials have shown considerable clinical success over their early generations in terms of good handling characteristics. Calcium enriched mixture (CEM) cement, Endosequence sealer, and root repair materials, Biodentine and BioAggregate are the new classes of bio-ceramic materials. The aim of this literature review is to present investigations regarding properties and applications of CEM cement in endodontics. A review of the existing literature was performed by using electronic and hand searching methods for CEM cement from January 2006 to December 2013. CEM cement has a different chemical composition from that of mineral trioxide aggregate (MTA) but has similar clinical applications. It combines the biocompatibility of MTA with more efficient characteristics, such as significantly shorter setting time, good handling characteristics, no staining of tooth and effective seal against bacterial leakage.

Citations

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Basic Research
The effect of the strength and wetting characteristics of Bis-GMA/TEGDMA-based adhesives on the bond strength to dentin
Eun-Sook Park, Chang-Keun Kim, Ji-Hyun Bae, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2011;36(2):139-148.   Published online March 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.2.139
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the effect of the strength and wetting characteristics of adhesives on the bond strength to dentin. The experimental adhesives containing various ratios of hydrophobic, low-viscosity Bis-M-GMA, with Bis-GMA and TEGDMA, were made and evaluated on the mechanical properties and bond strength to dentin.

Materials and Methods

Five experimental adhesives formulated with various Bis-GMA/Bis-M-GMA/TEGDMA ratios were evaluated on their viscosity, degree of conversion (DC), flexural strength (FS), and microtensile bond strength (MTBS). The bonded interfaces were evaluated with SEM and the solubility parameter was calculated to understand the wetting characteristics of the adhesives.

Results

Although there were no significant differences in the DC between the experimental adhesives at 48 hr after curing (p > 0.05), the experimental adhesives that did not contain Bis-GMA exhibited a lower FS than did those containing Bis-GMA (p < 0.05). The experimental adhesives that had very little to no TEGDMA showed significantly lower MTBS than did those containing a higher content of TEGDMA (p < 0.05). The formers exhibited gaps at the interface between the adhesive layer and the hybrid layer. The solubility parameter of TEGDMA approximated those of the components of the primed dentin, rather than Bis-GMA and Bis-M-GMA.

Conclusions

To achieve a good dentin bond, a strong base monomer, such as Bis-GMA, cannot be completely replaced by Bis-M-GMA for maintaining mechanical strength. For compatible copolymerization between the adhesive and the primed dentin as well as dense cross-linking of the adhesive layer, at least 30% fraction of TEGDMA is also needed.

Citations

Citations to this article as recorded by  
  • Equivalence study of the resin-dentine interface of internal tunnel restorations when using an enamel infiltrant resin with ethanol-wet dentine bonding
    Andrej M. Kielbassa, Sabrina Summer, Wilhelm Frank, Edward Lynch, Julia-Susanne Batzer
    Scientific Reports.2024;[Epub]     CrossRef
  • Physical properties and cytotoxicity of antimicrobial dental resin adhesives containing dimethacrylate oligomers of Ciprofloxacin and Metronidazole
    Yasaman Delaviz, Timothy W. Liu, Ashley R. Deonarain, Yoav Finer, Babak Shokati, J. Paul Santerre
    Dental Materials.2019; 35(2): 229.     CrossRef
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Original Articles
Physical properties of different self-adhesive resin cements and their shear bond strength on lithium disilicate ceramic and dentin
Hye-Jin Shin, Chang-Kyu Song, Se-Hee Partk, Jin-Woo Kim, Kyung-Mo Cho
J Korean Acad Conserv Dent 2009;34(3):184-191.   Published online May 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.3.184
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the physical properties of different self-adhesive resin cements and their shear bond strength on dentin and lithium disilicate ceramic and compare these result with that of conventional resin cement. For this study, four self-adhesive resin cements (Rely-X Unicem, Embrace Wetbond, Mexcem, BisCem), one conventional resin cement (Rely-X ARC) and one restorative resin composite (Z-350) were used. In order to evaluate the physical properties, compressive strength, diametral tensile strength and flexural strength were measured. To evaluate the shear bond strength on dentin, each cement was adhered to buccal dentinal surface of extracted human lower molars. Dentin bonding agent was applied after acid etching for groups of Rely-X ARC and Z-350. In order to evaluate the shear bond strength on ceramic, lithium disilicate glass ceramic (IPS Empress 2) disks were prepared. Only Rely-X ARC and Z-350 groups were pretreated with hydrofluoric acid and silane. And then each resin cement was adhered to ceramic surface in 2 mm diameter. Physical properties and shear bond strengths were measured using a universal testing machine.

Results were as follows

1. BisCem showed the lowest compressive strength, diametral tensile strength and flexural strength. (P<0.05)

2. Self-adhesive resin cements showed significantly lower shear bond strength on the dentin and lithium disilicate ceramic than Rely-X ARC and Z-350 (P<0.05)

In conclusion, self-adhesive resin cements represent the lower physical properties and shear bond strength than a conventional resin cement.

Citations

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    Journal of Materials Engineering and Performance.2016; 25(5): 1722.     CrossRef
  • Shear bond strength of a self-adhesive resin cement to resin-coated dentin
    Jee-Youn Hong, Cheol-Woo Park, Jeong-Uk Heo, Min-Ki Bang, Jae-Jun Ryu
    The Journal of Korean Academy of Prosthodontics.2013; 51(1): 27.     CrossRef
  • Effect of curing modes on micro-hardness of dual-cure resin cements
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  • The effect of the strength and wetting characteristics of Bis-GMA/TEGDMA-based adhesives on the bond strength to dentin
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    Journal of Korean Academy of Conservative Dentistry.2011; 36(2): 139.     CrossRef
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Assessment of sterilization effect and the alteration of surface texture and physical properties of gutta-percha cone after short-term chemical disinfection
Nan-Sim Pang, Il-Young Jung, Yoon-Jung Yu, Kee-Yeon Kum
J Korean Acad Conserv Dent 2006;31(2):133-140.   Published online March 31, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.2.133
AbstractAbstract PDFPubReaderePub

The purposes of this study were firstly to identify the microbial species on gutta-percha (GP) cones exposed at clinics using polymerase chain reaction, and secondly to evaluate the short-term sterilization effect of three chemical disinfectants. It also evaluated the alteration of surface texture and physical properties of GP cones after 5-min soaking into three chemical disinfectants. 150 GP cones from two endodontic departments were randomly selected for microbial detection using PCR assay with universal primer. After inoculation on the sterilized GP cones with the same microorganism identified by PCR assay, they were soaked in three chemical disinfectants: 5% NaOCl, 2% Chlorhexidine, and ChloraPrep for 1, 5, 10, and 30 minutes. The sterilization effect was evaluated by turbidity and subculture. The change of surface textures using a scanning electron microscope and the tensile strength and elongation rate of the GP cones were measured using an Instron 5500 (Canton). Statistical analysis was performed.

Four bacterial species were detected in 29 GP cones (19.4%), and all the species belonged to the genus Staphylococcus. All chemical disinfectants were effective in sterilization with just 1 minute soaking. On the SEM picture of NaOCl-soaked GP cone, a cluster of cuboidal crystals was seen on the cone surface. The tensile strength of NaOCl-soaked group was significantly higher than the other groups (p < 0.05). Also, all disinfectants significantly increased the elongation rate of GP cones compared to the fresh GP cone (p < 0.05). Present data demonstrate that three chemical disinfectants are useful for rapid sterilization of GP cone just before obturation.

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