Journal of Dental Medicine

Background and Aim: The improvement of the physical and chemical properties of resins as well as great advances achieved in the field of chemical bonding of resin to metal has changed the trend of restorative treatments. Today the second generation of laboratory resins have an important role in the restoration of teeth. The clinical bond strength should be reliable in order to gain successful results. In this study the shear bond strength (SBS) between targis (a ceromer) and two alloys (noble and base metal) was studied and the effect of thermocycling on the bond investigated.

Materials and Methods: In this experimental study, alloys samples were prepared according to the manufacturer. After sandblasting of bonding surfaces with 50µ AI2o3 Targis was bonded to the alloy using Targis I link. All of the samples were placed in 37°C water for a period of 24 hours. Then half of the samples were subjected to 1000 cycles of thermocycling at temperatures of 5°C and 55°C. Planear shear test was used to test the bond strength in the Instron machine with the speed rate of 0.5mm/min. Data were analyzed by SPSS software. Two-way analysis of variance was used to compare the bond strength among the groups. T test was used to compare the alloys. The influence of thermocycling and alloy type on bond strength was studied using Mann Whitney test. P<0.05 was considered as the limit of significance.

Result: The studied alloys did not differ significantly, when the samples were not thermocycled (P=0.136) but after thermocycling a significant difference was observed in SBS of resin to different alloys (P=000.1). Thermal stress and alloy type had significant interaction, with regard to shear bond strength (P=0.003). There was a significant difference in SBS before and after thermocycling in noble alloys (P=0.009), but this was not true in base metals (P=0.29). Maximum SBS (19.09 Mpa) belonged to Degubond 4, before thermocycling. Minimum SBS (8.21 Mpa) was seen in Degubond 4 after thermocycling.

Conclusion: The effect of thermocycling in reducing bond strength of resin to metal depends on the type of alloy. The noble metal studied is significantly affected by thermal tensions.

Background and Aim: As central incisors have a prominent role in esthetics, appropriate preparation, considering natural tooth anatomy and proper planes have always been considered. The aim of this study was to determine the number of planes in labial surface of maxillary central incisors using image processing and mathematical analysis.

Materials and Methods: This pilot study was performed on 32 intact maxillary central incisors in dental students of Tehran university of medical sciences. Photographs were taken from profile view of each tooth by a digital camera. Images were processed and number of planes was obtained using SigmaScan Pro. version 5.00 software and a customized program. Data were analyzed by t-test and regression tests with p<0.05 as the level of significance.

Results: 96.9% of central incisors had three planes and 3.1% had two planes in labial surface. The angle between middle-cervical and middle-incisal planes showed statistically significant difference (p< 0.01).

Conclusion: Based on the results of this study, a few percentage of maxillary central incisors had two planes and most of them had three planes in their labial surfaces. Thus, considering three planes for restoring maxillary central teeth is closer to principles of tooth preparation and esthetics.

Background and Aim: Debonding is the most common failure type of fiber posts. This in vitro study aimed to evaluate the bond strength of 3 different fiber posts cemented with a resin luting agent in three regions of prepared post spaces after being subjected to termocycling.

Materials and Methods Thirty six mandibular first premolars were sectioned at the cemento-enamel junction and were treated endodontically. After one week the post spaces were prepared and roots were divided into 3 groups of 12 specimens according to the post types (D.T.Composipost, D.T.White, D.T.Light). Sealbond Cement Dual II was used in all groups. One day after cementation, specimens were subjected to 3500 thermal cycles (5^oC/55^oC). Each root was then embedded in acrylic resin and sectioned perpendicular to long axis. Three 1-mm tick segments from apical, middle and cervical thirds were prepared. Push out test was performed. Data were analyzed with 2-way ANOVA (P<0.05). All root segments and dislodged posts were observed with stereomicroscope to figure out their failure modes.

Results: The post type had no significant effect on bond strength (p=0.08). However bond strength at the coronl segment was higher than the other segments (p=0.005). Mixed mode was the mostly occurred failure mode with D.T.Composipost and D.T.Light but with D.T.White, the mostly occurred failure mode was adhesive between the post and cement.

Conclusion: Different fiber posts have relatively similar bond strength to root dentin, bond strength at the coronl segment was higher than the other segments.

Background and Aims: Association between patient satisfaction and success of the treatment determines the quality of health care. Measuring the level of satisfaction is an important factor for improving the quality of services provided by a system, so it is necessary to determine the expectations of patients. The aim of this study was to evaluate the patient satisfaction from services provided by the dental faculty of Tehran University of Medical Sciences.
Materials and Methods: In this descriptive and cross-sectional study, 385 patients were randomly selected from different departments of dental faculty including prosthodontics, endodontics, periodontics, operative dentistry, radiology and oral medicine. A two-part questionnaire including demographic characteristics of patients and satisfaction from reception process, infection control, student and personnel behavior, and the outcome of treatment was filled out by patients. Data were analyzed using SPSS software.
Results: The most dissatisfying factor was the time wasted in paying the cost and the most satisfying factor was student behavior. General satisfaction form the process was evaluated (complete satisfaction 51.9%, partial satisfaction 38.4% and dissatisfaction 9.6%), and 62.9% of patients were completely agree with introducing dental faculty to others.
Conclusion: The most satisfying item was student behavior which indicates that this factor is of great importance in increasing the quality of treatment. The deficiencies determined by patient can provide reliable data for determination and regulation of health care policies.

Background and Aims: The aim of this study was to evaluate the effect of zirconia and base metal cores on the color of restorations. Furthermore, the effect of different backings on the color of cercon zirconia was evaluated.
Materials and Methods: The specimens were Cercon zirconia and metal ceramic discs with "high Au" and "base metal" alloys. Cercon zirconia discs were veneered with veneering shade of A2 and two thickness of porcelain (0.7 mm, 1.2 mm). There were 3 discs in each group. Metal ceramic discs were made of "nickel-chromium" alloy (Verobond) and "high Au" alloy (World 89) and two shades (A2, A3.5) and two thicknesses of veneering porcelain. 3 types of backing (high Au, nickel-chromium and A3 shade composite) were made for Cercon zirconia discs. Spectrophotometric evaluation of zirconia discs (on 3 backings) and metal ceramic discs was done. One-way ANOVA and Tukey tests were used for data analysis.
Results: There were no significant differences between the amounts of L*, a*, b* for Cercon zirconia on different backings (P>0.05). In comparison between different core groups, a* was significantly higher in metal ceramic groups compared with that of zirconia groups (P<0.05).
Conclusion: Cercon zirconia can completely mask the underlying backing.

  Background and Aims: The ability of composite restorations to prevent microleakage needs desirable bonding material for proper sealing . The purpose of this study was to evaluate class V composite restorations microleakage in premolars with/without electric current while applying variant dentin bonding in vitro.

  Materials and Methods: 120 non-carious human premolars were used for this study and standardized class v cavities were prepared. The tooth roots were cut by discs at a distance of 5 mm from CEJ and pulp tissue was removed. The teeth were divided into six groups of 20. In the first group, electric current was applied, Single bond (3M ESPE, St Paul, MN, USA) with a broom motion attached to the cathode and a sponge containing bonding was used as anode. The used current was 15µA and the Single bond in the second group was used without electricity. Then two bondings PQ1 (Ultradent, Germany) and Optibond solo plus (Kerr, USA) were used with and without electricity. After adhesive application and curing the bonding agents, cavities were restored by a composite (Valux Plus). The root ends were sealed by wax and all teeth surfaces, except 1 mm around the restorations were covered with a nail varnish. The specimens were thermocycled for 1000 cycles and placed in fushin for 24 hours and were then sectioned vertically and examined under a stereomicroscope. Data were scored on a 0-4 scale based on microleakage at the gingival margins and analyzed using Kruskal-Wallis and Mann-whitney test.

  Results: Based on the results, the extent of microleakage in the groups of electric current was significantly less than the groups without using the electric current (P=0.05). The lowest degree of microleakage was found in PQ1 group, and the greatest difference between the groups with and without electricity was also found in PQ1 group. Single bond and Optibond Solo Plus with electric current showed a lower degree of microleakge.

  Conclusion: The result showed that use of electric current during the application of dental adhesives could reduce the extent of microleakage.