Properties of New Partially Crystallized Lithium Disilicate CAD-CAM Materials.

Objective: The purpose of this study was to compare the optical, mechanical, and biological properties of two new, inexpensive lithium disilicate (LS2) materials (Lodden (LOD), LD Medical Technology; and BeautyZir (BZ), BeautyZir Technology) to a clinically established LS2 material (IPS e.max CAD (EMAX), Ivoclar Vivadent).

Methods And Materials: The optical properties of the translucency parameter (TP) and opalescence parameter (OP) were obtained with a dental spectrophotometer.

Dental Emergency Rates at an Expeditionary Medical Facility Supporting Operation Inherent Resolve.

Introduction: A core objective of U.S. medical services is to ensure the medical and dental readiness of military personnel.

Comparing Military and Civilian Dentists' Treatment Planning Decisions: A Pilot Study.

Introduction: Clinical decision-making varies among dentists. However, the literature is limited and narrow in scope regarding the variation between public and private sector dentists. Because both types of dentists' decisions can directly influence military dental readiness, it is important to understand the potential differences in diagnosis, treatment planning, and the delivery of care.

Assessing the Use of Radiographs Alone to Determine Air Force Dental Readiness Classification.

Introduction: The Air Force Dental Service is responsible for ensuring that airmen are dentally ready to support military operations worldwide by delivering top-tier dental care. As the military healthcare landscape undergoes significant changes, the Air Force Dental Service has explored innovative approaches to dental care delivery. One consideration involves the potential use of radiographs as the primary tool for assessing service members' dental conditions, specifically focusing on identifying nondeployable conditions and periodontal health.

Microleakage and Fracture Resistance of "Infinity Edge" and Cusp Reduction Preparation Designs for Moderate-sized Class II Composites.

Aim: This study aimed to evaluate the marginal microleakage and maximum occlusal fracture loads and fracture modes of two novel class II preparation designs, "infinity edge" and the "2.5 mm cusp reduction" preparations as compared to a traditional class II preparation without cuspal involvement.

Materials And Methods: Thirty extracted human mandibular molars were prepared for moderate-sized class II restorations with extensions into all occlusal grooves.

Fracture strength of ceramic overlays with immediate dentin sealing and same-day delivery.

Limited research is available evaluating whether the reported in vitro benefit of immediate dentin sealing (IDS)-namely, increased bond strength to tooth structure-can be acquired in the era of same-day (SD) dentistry. The purpose of this study was to compare the fracture strengths of ceramic overlays fabricated with a delayed dentin sealing (DDS) technique or an IDS technique under 1-hour SD or 2-week multiple-day (MD) delivery conditions. Forty extracted, healthy maxillary third molars were prepared for a lithium disilicate overlay restoration and divided into 4 groups of 10 teeth each.

Effect of Milling Speed on the Properties of Zirconia Restorations.

Background: The purpose of this study was to evaluate the effect of milling speed on the surface roughness, marginal gap, marginal gap volume, marginal offset, and fracture load of zirconia restorations.

Material And Methods: A mandibular molar #30 typodont tooth was digitally scanned and an ideal crown preparation for a zirconia restoration was digitally created. A single master model die of the crown preparation was milled out of a resin material.

Bond Strength of a Novel Universal Resin Cement to Dentin with or without an Adhesive Bonding Agent: An Study.

Aim: The purpose of this study was to evaluate the bond strength and fracture mode of universal resin cement to dentin compared to self-adhesive and adhesive resin cement with and without an adhesive bonding agent.

Materials And Methods: Seventy-two molar teeth were sectioned to expose coronal dentin, divided into three groups, and assigned to RelyX Universal (universal), RelyX Ultimate (adhesive), or RelyX Unicem 2 (self-adhesive) cements from 3M. The 3 groups were further subdivided into 2 subgroups of 12 specimens each, with or without the use of an adhesive bonding agent.

Optical and Mechanical Properties of New Ceramic CAD/CAM Materials.

Objective: The purpose of this study was to compare the optical and mechanical properties of newer ceramic CAD/CAM materials to more established materials on the market.

Methods And Materials: The following ceramic materials were tested: lithium disilicate/lithium-aluminum silicate (Tessera, Dentsply/Sirona), lithium disilicate (Initial LiSi Block, GC), IPS e.max CAD, Ivoclar Vivadent), and 4Y polycrystalline stabilized zirconia (IPS e.

Accuracy of an intraoral scanner based on sleeve type, decontamination, and calibration.

The purpose of this study was to evaluate the accuracy of an intraoral scanner based on camera sleeve type, decontamination protocol, and calibration status. Five extracted human teeth were set into a gypsum stone model and prepared for various indirect restorations. An optical impression was completed with a benchtop scanner to serve as a reference standard.

Efficacy of a chairside extraoral suction system in the reduction of aerosol contamination.

The dental setting is regarded as a high-risk environment for aerosol concentrations and transmission of respiratory infectious agents, especially in relation to the COVID-19 pandemic. Although a number of approaches and practices have evolved to reduce the spread of pathogens in the dental setting, the risk of airborne infection remains a concern. Several new extraoral suction (EOS) devices have been marketed recently; further investigation is warranted to determine their clinical effectiveness.

Novel chairside spectrometer-trained system for measuring the irradiance of light-curing units.

The purpose of this study was to compare the performances of 5 different instruments in measuring the irradiance of light-curing units (LCUs). A novel spectrometer-trained radiometer (CheckUp), 2 conventional chairside radiometers (Bluephase Meter I and Bluephase Meter II), and 2 devices considered to be gold standards for measuring irradiance (an integrating sphere spectrometer and a thermopile sensor) were used to evaluate 7 LCUs. The irradiance of each LCU was measured 10 times with each meter.

Evaluation of a Novel "Quad" Wavelength Light Curing Unit.

Background: This study investigated the properties (depth of cure, surface hardness, and volumetric shrinkage) of two composite restorative materials when polymerized with a novel "quad" spectrum (PinkWave) light-curing unit (LCU) compared to a tri-spectrum LCU (Valo Grand).

Material And Methods: One Valo Grand LCU was modified to be similar in irradiance to the PinkWave, and a second Valo Grand was utilized at the manufacturer's standard irradiant settings. Depth of cure was evaluated using the scraping technique (ISO 4049).

Dental erosion as an indicator of gastroesophageal reflux disease.

While evidence shows that dental erosion (DE) is often caused by gastroesophageal reflux disease (GERD), the relationship of DE severity to a patient's symptoms and receipt of appropriate medical treatment for GERD is not clearly understood. The purpose of this study was to evaluate the association between DE and GERD. Eighty participants underwent a Basic Erosive Wear Examination for DE and completed the Patient-Reported Outcomes Measurement Information System (PROMIS) survey on symptoms of gastrointestinal reflux (PROMIS Scale v1.

Fracture load of zirconia crowns based on preparation and cement type.

Limited research has been published evaluating the failure of zirconia crowns with less retentive tooth preparations. The purpose of this study was to evaluate the effect of axial wall height (AWH) and cement type on the fracture load of cubic phase-containing zirconia crowns. Standardized crown preparations with an AWH of 0, 2, or 4 mm (n = 10) were made in 90 extracted human maxillary third molars.

Efficacy of various decontamination methods and sterilization on contaminated and inoculated diamond-coated burs.

The objective of this study was to evaluate the efficacy of various decontamination methods and subsequent sterilization on contaminated and inoculated diamond-coated burs. One hundred forty new diamond-coated burs and 120 extracted human molars were utilized in this study. The burs were divided into 7 groups (n = 20): 1, positive control; 2, negative control; 3, new, unused burs; and 4 to 7, burs subjected to various combinations of cleaning methods (manual cleaning, use of a cleaning stone, and/or ultrasonic cleaning) after contamination.

Hardness Development in Resin Composite Core Materials.

Purpose: To investigate the hardness characteristics of 13 contemporary resin core materials.

Materials And Methods: Specimens (n = 12) were fabricated using stainless steel molds with top surfaces of dual-cure products photopolymerized while additional groups were allowed to self-cure. Twelve Knoop hardness indentations 500 microns apart were obtained of photopolymerized top and bottom sample surfaces as well as the self-cured sample surface with the mean recorded as the representative sample hardness.

The effect of micro-mechanical signatures of constituent phases in modern dental restorative materials on their macro-mechanical property: A statistical nanoindentation approach.

This study utilized a statistical nanoindentation analysis technique (SNT) to measure the amount of organic and inorganic constituents of twenty different brands of dental resin-based composites (RBCs) and tested whether their macro-property such as flexural modulus could be approximated by the proportions of constituents' micromechanical signatures using various rules of mixtures. The probability density function (PDF) of constitutive moduli per RBC brand were measured for three groups, comprised of different indent arrays and inter-indent spacings. SNT was then applied to deconvolute each PDF, from which the effective filler (μ) and matrix (μ) moduli and filler (V) and matrix (V) volume fractions per RBC brand were computed.

Management of dental anxiety via distraction technique.

Background: The purpose of this study was to evaluate the use of a stress ball as a distraction technique on stress levels of patients undergoing a dental procedure.

Material And Methods: A randomized, split-mouth design was conducted using 20 adult subjects requiring scaling and root planing (Sc/RP) in all four quadrants. Each side of the mouth (maxillary/mandibular) received Sc/RP with local anesthetic with or without the use of a stress-ball distraction over two separate sessions.

Effect of Toothbrushing on Surface Color of Ceramic-polymer Materials: An Study.

Aim And Objective: The purpose of this study was to examine the effects of toothbrushing on the change in color of extrinsic characterization of ceramic-polymer materials.

Materials And Methods: Two ceramic-polymer materials (CeraSmart, GC; Enamic, VITA) and one lithium-disilicate material (IPS e.max CAD; Ivoclar Vivadent) were tested.

Repair of resin-veneered polyetheretherketone after veneer fracture.

Statement Of Problem: If a composite resin-veneered polyetheretherketone (PEEK) restoration chips or fractures, a repair may be indicated. However, the most appropriate repair protocol for a composite resin-veneered PEEK restoration is unclear.

Purpose: The purpose of this in vitro study was to determine the efficacy of airborne-particle abrasion and/or a primer in the repair of composite resin-veneered PEEK prostheses.

Efficacy of Pulpal Anesthesia Using a Needle-less Syringe.

The purpose of this study was to investigate the manufacturer's claims regarding a novel needleless intraligamentary local anesthesia injection device (Numbee, BioDent) to provide effective single tooth anesthesia. Investigators compared the Numbee with a traditional inferior alveolar nerve block (IANB) during a restorative procedure on mandibular teeth. A randomized, split-mouth design was conducted with 15 adult subjects receiving an IANB on one side and a Numbee injection on the same tooth type on the contralateral side.

Fracture strength of various titanium-based, CAD-CAM and PFM implant crowns.

Objective: CAD-CAM has dramatically advanced dental restorative procedures to include implant-supported crowns. The purpose of this study was to compare the fracture resistance following mechanical loading and thermocycling of various screw-retained and cement-retained ceramic and polymethylmethacrylate material combinations using the TiBase abutment compared to PFM implant-supported crowns.

Overview: Twelve implant restorations were fabricated for each of eight groups.