Search Results (622)

Additive manufacturing (AM) enables customized, efficient restorative workflows, though the accuracy of 3D-printed restorations may be compromised by polymerization, sintering shrinkage, and post-processing. This study evaluated the geometric accuracy of 3D-printed partial restorations compared with the computer-aided design (CAD) reference. The null hypothesis stated that no significant differences would be found between Varseo Smile Crown^plus (by BEGO, Italy) and IRIXMax (by DWS System, Italy) materials, which are printed and cured with different technologies. A model was prepared for an overlay and designed with a 1.5 mm uniform thickness. Restorations were produced in two groups with two different printing processes: DLP (digital light processing)-printed Varseo Smile Crown^plus and SLA (stereolithography)-printed IRIXMax. Six samples per group were printed at 90° orientation and scanned. Meshes were aligned to the master geometry via pre-alignment and ICP (Iterative Closest Point) registration. Deviations were quantified in CloudCompare using mean, standard deviation (SD), and 90th percentile values. IRIXMax showed the lowest deviations from the ideal geometry, while Varseo Smile Crown^plus exhibited greater variability. Pairwise comparisons found IRIXMax significantly more accurate than Varseo Smile Crown^plus. Color maps confirmed material-specific deviation patterns. IRIXMax provided the highest geometric accuracy. Material-specific calibration is essential for reliable 3D-printed definitive restorations. Full article

Backround: The aim of this study was to evaluate the effects of probiotic yogurt containing Lactobacillus rhamnosus (LGG) on the microhardness and surface roughness of restorative dental materials commonly used in pediatric dentistry. Methods: Three materials were tested: conventional glass ionomer cement Fuji II, high-viscosity glass ionomer cement Fuji IX, and microhybrid composite resin Te Econom. The samples were prepared according to the manufacturers’ instructions, initially stored in distilled water, and subsequently immersed in probiotic yogurt. Microhardness was measured by the Vickers hardness test, and surface roughness was assessed by 3D profilometers. Results: Statistical analysis was performed using the Wilcoxon signed-rank test and the Kruskal–Wallis test. Exposure to probiotic yogurt resulted in increased microhardness for the resin-modified and high-viscosity glass ionomer cements, whereas the microhardness of the microhybrid composite resin decreased. The surface roughness increased for all the tested materials, with statistically significant differences observed in most groups (p < 0.05). Conclusions: These findings indicate that probiotic yogurt can alter the physical properties of restorative dental materials and highlight the importance of careful selection of preventive agents in pediatric dental practice. Further research is needed to clarify the long-term effects of probiotic preparations on dental restorations. Full article

In this study, the structural, thermal, and mechanical properties of nanocomposites obtained by adding zinc oxide (ZnO) nanoparticles (NPs), produced by phyto-mediated synthesis using Dianthus chinensis plant extract, to a PMMA-based photopolymer resin at different ratios (0.05%, 0.10%, 0.15%, 0.20%, and 0.25%, by weight) were evaluated. The prepared composite resins were produced in different test geometries using a DLP (digital light processing)-based 3D printer (Asiga Ultra). Following the structural characterization of ZnO nanoparticles, tensile, compressive, and flexural mechanical tests were performed on the resulting composites, as well as FTIR, TGA, DSC, and DMA analyses. The FTIR results showed that ZnO NPs were physically integrated into the matrix. TGA and DSC analyses revealed that the addition of ZnO NPs, particularly at an addition rate of 0.15%, increased thermal stability. DMA analyses showed an increase in storage modulus and glass transition temperature as the addition rate increased. In mechanical tests, the highest modulus of elasticity and maximum strength values were obtained at additive ratios of 0.10–0.15%. The highest tensile strength (55.31 MPa) and compressive strength (388.53 MPa) were obtained at ZnO contents of 0.10–0.15 wt%, while the maximum flexural strength reached 125.94 MPa at 0.15 wt% ZnO. In addition, the storage modulus increased from 1.469 × 10⁹ Pa for the control resin to 1.872 × 10⁹ Pa for the composite containing 0.15 wt% ZnO, indicating improved stiffness and thermomechanical stability. The stress–strain curves show that improvements in ductility and deformation capacity of the material are achieved at these additive ratios. The findings demonstrate that green-synthesized ZnO nanoparticles are an effective and sustainable additive material for improving the mechanical and thermal performance of DLP-based photopolymer dental resins. Full article

Background: The application of veneer restorations over previously composite-restored anterior teeth presents significant clinical challenges, particularly in achieving optimal marginal sealing. Aim: This in vitro study aimed to evaluate the marginal integrity and sealing ability of different 3D-printed resin veneer restorations on sound versus composite-restored anterior teeth. Materials and Methods: Eighty freshly extracted human anterior teeth (40 central incisors and 40 canines) were randomly assigned into two main groups: sound teeth and composite-restored teeth. All the teeth received 3D-printed resin veneer restoration utilizing two different types of 3D-printed resin (GC Temp Print, GC, Tokyo, Japan; and Varseosmile Triniq, BEGO GmbH & Co., Bremen, Germany). The specimens were then subjected to microleakage, marginal fitness, cement void, and cement loss testing. Results: There were no statistically significant differences among all examined groups. Microleakage scores were predominantly 0 across all groups, with median values of 0 at both cervical and proximal surfaces. Marginal fitness showed fit percentages ranging from 20% to 100%, while cement voids and cement loss were rare events (<10%). Statistical analysis confirmed no significant differences between groups (p > 0.05), with p-values ranging from 0.151 to 1.000. Conclusions: No, the presence of pre-existing composite restorations did not adversely affect 3D-printed veneer performance. The marginal integrity and sealing ability of two different 3D-printed resin veneers are not affected by the presence of previous composite restoration on cervical and proximal surfaces for both incisor and canine teeth. 3D-printed veneers applied to sound and restored teeth showed good marginal integrity and proper sealing ability. Full article

Purpose: This study provides a comparative evaluation of surface changes in BioHPP materials under routine professional hygiene procedures, which is recommended by dentists, twice a year. BioHPP is a polyetheretherketone polymer used in prosthetic dentistry as a frame material. The aim was to investigate whether routine dental cleaning procedures such as ultrasonic scaling and brushing affect the surface proprieties of prosthetic BioHPP restorations. This study was conducted to evaluate the surface properties of different restorations based on BioHPP (veneered with composite resin and polished) after brushing and ultrasonic scaling exposure. Materials and Methods: The BioHPP specimens were divided into three groups. The first group (marked BioHPP) served as a baseline reference for assessing the effect of different surface processing approaches, and no further treatment was applied. The specimens in the second group (BioHPP-P) were polished, while the specimens in the third group (BioHPP-C) were veneered with composite resin. Group BioHPP-P and BioHPP-C of samples was divided into three subgroups: 0—no treatment, 1—exposed to tooth brushing, 2—exposed to ultrasonic scaling. Untreated samples (subgroup 0) served as controls for evaluating treatment-related changes within groups 2 and 3. The surface morphology was investigated by atomic force microscopy (AFM). The structure of samples was analyzed using the XRD technique, and the surface wettability was evaluated. Results: The surface roughness of the samples was evaluated via root mean square (RMS) parameter. Baseline BioHPP specimens exhibited higher roughness values compared to the other analyzed groups. The roughness of the non-treated specimens (0) decreased in the line 59.18→28.84→14.51 nm. Treatment of the samples by brushing and ultrasonic scaling was associated with an increase in surface roughness. Variations in water contact angle values were observed. However, no consistent treatment-related trend could be established. Conclusions: Composite veneered BioHPP showed a tendency toward higher surface resistance to brushing and ultrasonic scaling. These findings should be interpreted within the limitations of an in vitro descriptive study. Full article

The effects of different surface pretreatments on the microtensile bond strength (µTBS) between a bulk-fill resin-based composite cavity base material (Bulk Base HARD II) and 4-META/MMA-TBB resin (Super-Bond EX), which is often used as a luting agent for indirect dental restorations, were investigated. Six experimental treatments were established: 10% citric acid/3% ferric chloride conditioner (10-3), self-etching primer (Teeth Primer; TP), silane coupling agent (M&C Primer; MC), 10-3+MC, TP+MC, and a control group with no treatment. The µTBS was measured after 1 week (immediate group) and 6 months (aged group) of water storage. There were no significant differences in µTBS among the immediate subgroups. However, the aged 10-3+MC group exhibited the highest bond strength, significantly outperforming the control group. On the other hand, the µTBS of the aged TP group was significantly lower than those of both aged 10-3 and 10-3+MC. MC alone did not enhance bond strength, and its application after TP led to a nonuniform surface morphology, raising concerns about adhesive stability. Failure mode analysis indicated that cohesive failure within the luting cement was predominant, with mixed failures being more frequent in the aged TP group. Overall, MC may not be necessary, and 10-3 conditioning does not adversely affect bond strength. Based on the results of this in vitro study, the most effective clinical practice entails pretreatment of the prepared cavity employing a citric acid/ferric chloride conditioner. Full article

This in vitro study evaluated the effect of irrigation on different polishing protocols and their influence on the surface roughness, microhardness, and mass of resin composites. Three resin composites (Admira^® Fusion, Filtek Supreme™ XTE, and Ceram.X Spectra™ STHV) were polished using four systems (Sof-Lex™, DIATECH^® ShapeGuard, Astropol^®, and Enhance™/PoGo™) under wet and dry conditions. Eight test groups were established for each resin composite (n = 10 per group). Vickers microhardness, surface roughness (R_a), and specimen mass were measured before and after polishing with one of the four systems, applied either with or without irrigation. For Admira^® Fusion polished with Sof-Lex^™, R_a values were lower without irrigation (p = 0.048), whereas Filtek Supreme^™ XTE and Ceram.X Spectra^™ STHV polished with the Enhance^™/PoGo^™ system showed lower R_a values when irrigation was used (p = 0.010 and p = 0.004, respectively). Sof-Lex^™ and DIATECH^® ShapeGuard produced the highest microhardness values for both Admira^® Fusion and Filtek Supreme^™ XTE. Moreover, specimens of Admira^® Fusion and Ceram.X Spectra^™ STHV polished with DIATECH^® ShapeGuard exhibited higher microhardness under irrigation (p = 0.048 and p = 0.027, respectively). Overall, polishing resulted in measurable material removal, reflected by a reduction in specimen mass, and in an increase in microhardness. Wet polishing generally increased microhardness, although the effect varied depending on the polishing system and resin composite. Clinicians should therefore consider both the resin composite and the polishing system when deciding whether to use irrigation, as appropriate irrigation control may help optimize the surface smoothness and microhardness of resin composite restorations. Conference Presentation: Preliminary data from this study were previously presented as an oral communication at the 32nd Portuguese Dental Association Annual Meeting. This manuscript represents a substantially expanded and revised version, developed as a full research article. Full article

Dental restorative resins available today still have limitations that may affect their durability. This study explores reinforcing a universal microhybrid dental composite resin with organomodified nanoclay at low filler loadings (0, 0.5, 1, 3, and 5 wt%). The morphology, structural features, and light transmittance of the composites were analyzed using scanning electron microscopy (SEM), X-ray diffraction (XRD), attenuated total reflection–Fourier transform infrared (ATR–FTIR), and UV–Vis spectroscopy. The degree of conversion and polymerization shrinkage were measured with ATR–FTIR and a linear variable displacement transducer (LVDT). Water sorption and solubility parameters and flexural properties were assessed gravimetrically and with a dynamometer, respectively. The composites mainly showed exfoliated structures and an improved degree of conversion. Polymerization shrinkage and solubility were lower than those of unmodified dental resin. The highest degree of conversion was observed in composites with 0.5–1 wt% nanoclay. The incorporation of 1 wt% nanoclay resulted in the lowest shrinkage and sorption, along with the highest flexural modulus and strength. Overall, the results suggest that low nanoclay concentrations can improve the physicochemical and mechanical properties of dental composites, highlighting their potential to develop advanced restorative materials that can address current clinical challenges. Full article

Objectives: This study characterised the bioactive properties (i.e., ion release, pH rise, and apatite formation) of a newly developed Voco Profluorid + BioMin F varnish. Three additional varnishes were investigated for comparison: Clinpro™ White Varnish (3M™, St. Paul, MN, USA), MI Varnish (GC, Tokyo, Japan), and Profluorid varnish (VOCO GmbH, Cuxhaven, Germany). The Clinpro™ White and MI varnishes were chosen for comparison due to their similar composition of active ingredients. Profluorid served as a standard fluoride-only varnish reference. Methods: Dental varnish ingredients were characterised using ATR-FTIR, XRD, and ¹⁹F and ³¹P MAS-NMR. Coated coverslips were immersed in Tris buffer and artificial saliva (pH 4.0 and 7.0) for 2–24 h. Ion release was analysed using ICP-OES and a fluoride ion-selective electrode whilst monitoring pH changes. Post-immersion, coverslips were analysed by XRD and MAS-NMR to assess possible apatite formation. Results: XRD and ¹⁹F MAS-NMR detected NaF in all four varnishes. BioMin F varnish showed a ³¹P peak matching BioMin F glass, with an additional brushite peak, indicating partial reaction of the bioactive glass (BAG) with rosin resin water. All varnishes released fluoride and calcium, but only BioMin F and MI varnishes released phosphate, which is essential for the formation of calcium fluorapatite. Post-immersion analysis confirmed fluorapatite formation in BioMin F and, to a lesser extent, the Profluorid varnish. No apatite formation was observed in the other two varnishes. MI varnish exhibited calcium fluoride formation before and after immersion, as evidenced by XRD and ¹⁹F MAS-NMR analysis. Conclusions: The novel BioMin F varnish potentially promotes remineralisation by providing a sustained and slow release of therapeutic ions that are essential for the formation of fluorapatite. Full article

This study comparatively evaluated the influence of processing routes on the optical stability of three dental resin composites: a light-cured direct composite—G-ænial A’CHORD (LCC), a CAD-CAM milled composite—BreCAM.HIPC (MC), and a 3D-printed composite—Saremco Print Crowntec (PC). Specimens were analyzed before (T0) and after hydrothermal aging for 5000 (T1), 10,000 (T2), and 30,000 cycles (T3). Optical stability was assessed through the change in color (ΔE₀₀) and translucency parameter (TP) after aging and immersion in beverages. Surface topography was evaluated using atomic force microscopy (AFM), while Raman spectroscopy was employed to detect aging-induced molecular changes. After aging and staining, all composites exceeded the acceptability threshold for color change. ΔE₀₀ values of 6.8 ± 1.1 (PC), 4.6 ± 0.9 (MC), and 2.1 ± 0.9 (LCC), obtained after initial aging, further increased following prolonged immersion in coffee. After 1 day of immersion in Coca-Cola, MC exhibited the highest ΔE₀₀ values, which slightly exceeded the clinically acceptable threshold. Prolonged immersion (7 days) significantly increased staining for all materials. TP values significantly differed among materials, with the highest values detected for LCC (20.6 ± 3.6) and PC (19.1 ± 1.5) and the lowest values detected for MC (4.9 ± 0.8). Overall, the results demonstrated that ΔE₀₀ was strongly influenced by the processing route and surface topography, whereas changes in translucency parameter (TP) were predominantly governed by the intrinsic properties of the resin composites. Full article

Modern dentistry increasingly relies on light-curing units (LCUs) and lasers in essential clinical procedures such as composite resin polymerization, caries treatment, and periodontal therapy. This review aims to outline the evolution of light-emitting technologies and to assess their potential biological risks, with particular emphasis on effects on the visual system, oral tissues, and microbiome. The development of curing devices is presented chronologically, from the first-generation ultraviolet (UV-A) lamps introduced in the 1970s to current light-emitting diode (LED-LCU) systems and dental lasers (e.g., Er:YAG, Nd:YAG). The progressive increase in light intensity—now exceeding 3000 mW/cm²—has shortened curing times but simultaneously raised safety concerns. Major hazards include the so-called blue-light hazard, where exposure to high-energy visible (HEV) blue light may accelerate macular degeneration, and temperature elevations in the pulp chamber, which may damage the dentin–pulp complex. Laser radiation also exerts significant microbiological effects: Er:YAG and diode lasers demonstrate bactericidal activity against biofilms and oral pathogens (e.g., P. gingivalis), although therapeutic outcomes depend on wavelength, dose, and exposure time. Suboptimal parameters may lead to microbiome disturbances, whereas low-level laser therapy (LLLT; 600–1200 nm) supports tissue regeneration and helps restore microbial balance. The individualization of irradiation parameters, combined with thorough theoretical knowledge, operator expertise, and technical understanding of LCUs and lasers, is essential for maximizing clinical benefits while minimizing health risks and preserving oral microbiome homeostasis. Full article

Background: Screw loosening remains a common mechanical complication in implant-supported restorations; however, the combined effect of sealing and superstructure materials on abutment screw stability warrants further investigation. Methods: This study evaluated the influence of access channel sealing material and superstructure material on abutment–implant screw stability after thermomechanical cyclic loading. Forty-eight Straumann analog–abutment assemblies restored with monolithic zirconia or resin nano-ceramic (Cerasmart) crowns were assigned to two sealing protocols: Polytetrafluoroethylene (PTFE) + composite or polyvinyl siloxane (PVS) putty (n = 12). After 750,000 off-axis cycles, reverse torque values (RTV) were analyzed using two-way analysis of variance (ANOVA) and Tukey’s HSD, with effect sizes calculated (α = 0.05). Results: A significant interaction between restorative material and sealing protocol was observed (p = 0.0170; η² = 0.116). Superstructure material showed no significant influence on RTV (p = 0.8368), whereas sealing protocol had a significant main effect (p = 0.0499). RTVs were highest for zirconia + PVS putty (36.33 ± 4.53 Ncm) and lowest for zirconia + PTFE (29.32 ± 6.30 Ncm), while the Cerasmart groups showed intermediate values. Post hoc analysis confirmed higher RTV for zirconia + PVS compared with zirconia + PTFE (p = 0.0138). Conclusions: Access channel sealing materials showed a material-dependent influence on abutment screw stability. Silicone-based sealing improved torque maintenance in zirconia, indicating that rigid restorative materials may be more sensitive to sealing material selection. In contrast, Cerasmart showed comparable RTV regardless of sealing protocol, suggesting that resilient restorative materials may reduce the influence of sealing on preload maintenance. Full article

This study evaluated the effects of thermocycling on surface roughness (Ra), gloss (GU), color stability (ΔE₀₀), and water sorption of interim materials manufactured by three methods. Disc specimens (n = 20/group) were fabricated from a conventional bis-acryl (PreVISION^® Temp), a computer-aided design/computer-aided manufacturing (CAD/CAM)-milled methacrylate-based composite (StructurCAD Disc^®), and a 3D-printed resin composite (Alias Dental Temp C&B^®). Two disc dimensions were used: 10 × 2 mm for Ra, GU, and color, and 15 × 1 mm for water sorption. Measurements were performed before and after thermocycling (10,000 cycles; 5–55 °C). Nonparametric tests were used (α = 0.05). After thermocycling, Ra increased in the conventional and 3D-printed groups, whereas the milled group demonstrated a decrease (p < 0.05). GU decreased across all groups (p < 0.001) and differed among materials (p = 0.021), with a significant difference only between milled and 3D-printed groups. Color stability differed among materials (p < 0.001): the milled group showed the lowest ΔE₀₀ perceptibility threshold (below PT₀₀ = 0.81), whereas conventional and 3D-printed groups exceeded the acceptability threshold (AT₀₀ = 1.81). Water sorption differed among groups (p < 0.001), with a significant difference between the milled and 3D-printed groups (p < 0.001). The tested 3D-printed material exhibited less favorable post-thermocycling optical properties, whereas the evaluated CAD/CAM-milled material demonstrated more favorable overall surface and optical performance under the applied aging conditions. Full article

Titanium alloys are widely used in dental implants due to their excellent mechanical properties. However, their inertness and poor antibacterial activity cause interfacial loosening and failure, shortening service life. This study integrates surface microtexturing with coating technologies, employing modified light-curing composite resins to boost the bioactivity of medical titanium alloys via surface modification. The results reveal that surface microtexturing enlarges the coating-substrate contact area by 42.5% compared with rough surfaces, concurrently diminishing stress per unit area, and the coating on microtextured Ti-6Al-4V (TC4) surfaces achieves adhesion with a damaged area of only 0.5%, thereby notably enhancing adhesion between the coating and TC4 matrix. In comparison, with rough surfaces (surface roughness of 0.658 μm), smooth TC4 planes (surface roughness of 0.014 μm) show a significantly reduced bacterial colony count (from 130 ± 6 to 42 ± 3) with an antibacterial rate of 67.7%, as the water contact angle on TC4 surfaces increases with decreasing roughness (reaching 80.95° on the smoothest surface), making bacterial adhesion more challenging and reducing colonization. The composite resin coating based on a mixture of titanium-doped hydroxyapatite and titanium dioxide (Ti-HA/TiO₂) further improves the antibacterial rate to 74.6% through a photocatalytic synergistic effect and endows TC4 with excellent remineralization capacity—mineralization deposits appear on the coated surface after 3 days of immersion in artificial saliva, while no obvious deposits are found on uncoated rough and smooth surfaces even after 7 days—thereby enhancing its bioactivity effectively. This study on the modification of Ti-based implant surfaces will enrich the field by introducing new technologies and methodologies. These advancements provide a theoretical basis for improvement of the remineralization capacity and antibacterial properties of Ti-based dental implants, thereby promoting broader biomedical applications. Full article

Tooth bleaching improves dental esthetics but may cause color mismatch with existing resin composite restorations and complicate restorative treatment planning because tooth color may change during the post-bleaching stabilization period, sometimes requiring delayed restoration placement or replacement of existing restorations. Universal shade resin composite (UC) has been introduced to simplify shade selection; however, its ability to adapt to dynamic tooth color changes associated with bleaching has not been sufficiently documented. A 61-year-old male patient underwent tooth bleaching for esthetic improvement. One year later, secondary caries was detected on tooth #22 and restored using a UC. The restoration was placed prior to additional bleaching procedures. Clinical follow-up indicated that the UC restoration appeared to maintain shade adaptation after bleaching. Furthermore, at the two-year follow-up, generalized tooth discoloration was observed; however, the restoration remained harmonized with the surrounding tooth structure. Subsequent additional bleaching resulted in further lightening of the tooth structure while shade harmony with the restoration was preserved. Favorable shade adaptation was maintained throughout the three-year follow-up. This case suggests that a UC restoration placed before bleaching appeared to maintain shade compatibility over long-term follow-up, despite bleaching-induced color improvement and subsequent intrinsic and extrinsic discoloration. Full article