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Volume 15, Issue 2 (5-2002)
Composite resin restorative materials, that nowadays are used as tooth-colour materials, have both benefits and weaknesses. One of these weaknesses is the contraction resulted from resin polymerization which influences on the composite dentin bond strength and it has been tried to be eliminated by different bonding systems. The aim of this in-vitro study was to compare the dentin bond strength of two dentine adhesive systems: multi-step Scoth Bond Multipurpose (SBMP) and single- step Excite, by two composites of Ideal Makoo and Tetric. One hundred sixty (160) sound human molars were selected. At first they were debrided and mounted with acrylic resin in molds. The enamel of the buccal surface was eliminated by diamond burs. To provide a flat dentin surface, it was removed about lmm. Then, based on the type of dentin adhesive, they were divided into two groups of 30 teeth and were applied on the exposed dentine surface according to the manufacturer's instructions. Then, each group was divided into two subgroups of 15, based on the type of composite resin. Cylinders of the desired composite resin, attached to the dentin surface, were used for 80 seconds. The samples were stored in 100% humidity (37°c) for 24 hours. The bond strengths was measured by a cross head blade with the speed of 2mm/min. Variance analysis and Duncan test, with 95% confidence level, showed that statistically, two factors of adhesive and composite, interact on each other, in bond strength. There was no significant difference in bond strength, between two composites with similar adhesives, however, comparing two different adhesives with the same composite, showed that the bond strength of Tetric with Excite (28.39) was more than that of SBMP (17.98 Mpa). Finally, it was recognized that among four experimental groups, there was only a significant difference in bond strengths, between Tetric-Excite with Tetric- SBMP. This study shows that dentin bond strength is influenced by dentin bonding agents, composite type and dentin structure, and using a type of composite with a dentin bonding agent, manufactured by the same company, results in a higher bond strength.
Volume 16, Issue 4 (1-2004)
Statement of Problem: Composite reins have recently become popular for posterior teeth restorations. Gap formation and subsequent microleakage are of the complications resulting from such restorations. One of the techniques to overcome polymerization shrinkage of composite resins is sandwich technique (application of glass ionomer as a base beneath the composite resin). Since polymerization patterns in two types of composite resins (light cure and self cure) differ from each other, various effects on the bond strength between glass ionomer and dentin are expected.
Purpose: The aim of this in vitro study was to evaluate the effects of self- cure and light- cure composite resins in sandwich technique on the bond strength of light cure glass ionomer and dentin.
Materials and Methods: 40 extracted human premolars were selected and divided into four groups:Group 1: Light cure glass ionomer of 1mm thickness was placed on dentin.Group 2: 1mm thickness of light cure glass ionomer plus a mass of self cure composite resin of 2mm thickness were placed.Group 3: 1mm thickness of light cure glass ionomer plus light cure composite resin as two separate 1mm layer were placed.Group 4: 1mm thickness of light cure glass ionomer with 37% phosphoric acid etching followed by two separate layers of light cure composite resin of 1 mm thickness were placed.SEM was used to determine gap size ai Gl- dentin and Gi- composite interlaces. The findings were analyzed by ANOVA and t-student tests.
Results: Groups 1 and 2 showed no gap at Gl-dentm interface and also cracks were not observed in all these specimens. In group 3, there was gap between light cure GI and light cure composite resin and cracks were seen in GI, too. Group 4 showed gap at both interfaces and more cracks were seen in GI. Groups I and 2 showed the least gap formation and group 4 showed the most. Statistically significant difference was found between groups 3, 4 and group 1 (control), 2.
Conclusion: Base on this study, the application of self-cure composite resin on light cure GI showed no gap and crack formation on Gl-dentin and Gl-composite interfaces and GI itself. However, light cure composite resins and glass ionomer etching aggregated crack and gap formation.
Volume 18, Issue 2 (5-2005)
Statement of Problem: Blood contamination is a common problem in dentistry that can decrease bond strength dramatically which may be affected by methods of decontamination as well.
Purpose: The aim of this study was to evaluate and compare the influence of blood contamination on shear bond strength of composite and compomer to dentin using Prompt L-Pop as an adhesive system. Also, to assess the effectiveness of different surface treatments on the bond strength.
Materials and Methods: In this experimental study, 120 molar teeth were sectioned to provide flat occlusal dentinal surfaces. Specimens were embedded in acrylic resin with the flat surface exposed. The dentinal expose surfaces were polished to 600 grit. The teeth were randomly divided into five groups of twelve specimens (F1–F5) for compomer material and five other groups (Z1- Z5) for composite resin. After application of Promt L-Pop to dentinal surfaces of specimens, the surfaces in all groups, except for F1 and Z1, (as controls) were contaminated with human blood and then one of the following surface treatments was applied. Groups F2 and Z2 without any treatment, groups F3 and Z3 rinsing with water, groups F4 and Z4 rinsing with water and reapplication of adhesive, groups F5 and Z5 rinsing with NaOCl and using Prompt L-Pop again. Restorative materials were applied to treated surfaces using plastic molds. After thermocycling, shear bond strengths, mode of failures and morphology of dentin-material interfaces were evaluated. The data were statistically analyzed using Factorial analysis of Variance, One-Way ANOVA, Duncan, T-student and Chi-Square tests with P<0.05 as the limit of significance.
Results: Compomer showed statistically significant higher bond strength in comparison to composite (P<0.001). Duncan test showed significant differences between all compomer groups, except between groups F4 and F5, and between all composite groups except for groups Z1 and Z4 and for groups Z2 and Z3.
Conclusion: Based on the findings of this study, shear bond strength of compomer material was significantly higher than composite. Blood contamination reduced bond strength, but rinsing contaminated dentin with water or NaOCl and reusing Prompt L-Pop increased bond strength in both materials.
Volume 18, Issue 4 (1-2006)
Background and Aim: The majority of commercial curing units in dentistry are of halogen lamp type. The new polymerizing units such as blue LED are introduced in recent years. One of the important side effects of light curing is the temperature rise in composite resin polymerization which can affect the vitality of tooth pulp. The purpose of this study was to evaluate the temperature rise in two different composite resins during polymerization with halogen lamps and blue LED.
Materials and Methods: This experimental study investigated the temperature rise in two different composites (Hybrid, Tetric Ceram/Nanofilled, Filteke Supreme) of A2 shade polymerized with two halogen lamps (Coltolux 50, 350 mW/cm2 and Optilux 501 in standard, 820 mW/cm2 and Ramp, 100-1030 mW/cm2 operating modes) and one blue LED with the intensity of 620 mW/cm2. Five samples for each group were prepared and temperature rise was monitored using a k-type thermocouple. Data were analyzed by one-way ANOVA, two-way ANOVA and Tukey HSD tests with P<0.05 as the limit of significance.
Results: Light curing units and composite resins had statistically significant influence on the temperature rise (p<0.05). Significantly, lower temperature rise occurred in case of illumination with Coltolux 50.There was no significant difference between Optilux 501 in standard curing mode and LED. Tetric Ceram showed higher temperature rise.
Conclusion: According to the results of this study the high power halogen lamp and LED could produce significant heat which may be harmful to the dental pulp.
Volume 20, Issue 1 (5-2007)
Background and Aim: Patients always complain about metallic color of amalgam restorations. Covering amalgam by composite can solve this problem. Since polymerization shrinkage is a serious shortcoming in composites, application of the combined amalgam and composite restoration is one of the methods to reduce leakage in the cervical margins of posterior restorations. The aim of this invitro study was to evaluate the microleakage of amalgam/composite interface when Rely-X ARC adhesive resin cement was used in the joint.
Materials and Methods: Twenty-four sound extracted premolars were chosen. Mesial and distal class II conventional cavities were prepared and the samples were divided into 4 groups of 12. In all groups, the bases of the cavities were restored with amalgam and then the remaining part was filled by composite resin. Specimens in groups 1 and 2 were restored with composite-resin, immediately after condensing amalgam without or with application of Rely-X ARC (3M, ESPE) respectively. In groups 3 and 4, composite resin were applied 24 hours after condensation of amalgam, without or with application of Rely-X ARC respectively. After polishing and thermocycling, all specimens were prepared for dye penetration and the degree of leakage was scored and analyzed using Kruskall Wallis test with p<0.05 as the level of significance.
Results: The frequency of dye penetration in different groups was obtained. The most and the least scores were observed in groups 3 and 4 respectively. No statistically significant difference was observed in different methods.
Conclusion: None of the methods in this study could seal the amalgam/composite-resin interface.
Volume 20, Issue 2 (5-2007)
Background and Aim: Light cured composites and other restorative materials are quite common in dentistry today. Successful restorations are dependent on efficiency of curing light unit, eg. the intensity of emitted light and its wave length. The aim of this study was to evaluate the efficiency units of curing, in private dental offices in Tehran.
Materials and Methods: In this descriptive cross sectional study, light curing devices in 240 private dental offices were evaluated randomly. Light intensity was measured by radiometer, debris on the fan and cracks and scratches on the filter were directly observed and the age of the device, frequency of changing the bulb and satisfaction of the dentist with regard to the light curing unit were recorded in a questionnaire. Data were analyzed using Spearman and t test, with p<0.05 as the level of significance.
Results: The results showed that 53.8% of the units had intensities more than 300 mW/cm2. The intensity of 30.4% of curing light units were between 20 and 300 mW/cm2 and 15.8% had intensities lower than 200 mW/cm2. There was a negative relation between light intensity and the age of the unit, frequency of bulb changing or scratches on the filter and debris on the fan.
Conclusion: The results of this study showed that the light intensities of about 46% of light curing units used in private dental practices and clinics were inadequate. Since factors like aging of the curing light unit, frequent bulb changing, increasing the amount of debris on the fan and scratches on the filter reduce the light intensity, regular quality control of these devices is essential.
Volume 20, Issue 2 (5-2007)
Background and Aim: Halogen lamp is the commonly used light source for composite photo polymerization. Recently, high power halogen lamps, LED and plasma arc are introduced for improving the polymerization. The aim of this study was to investigate the effect of conventional and high power halogen lamps and LED light curing unit on degree of conversion of two different composite resins.
Materials and Methods: In this in vitro experimental study two halogen units (Coltolux 50 with the intensity of 330 mW/cm2 and Optilux 501 with two different operating modes of standard with the intensity of 820 mW/cm2 and Ramp with the intentsiy of 100-1030mW/cm2) and one LED light curing unit (620 mW/cm2) were used. The composites were hybrid (Tetric ceram) and nanofilled (Filteke supreme). Each materials/curing method contained three samples and degree of conversion (DC) was measured with FTIR. Data were analyzed statistically with one way and two way ANOVA, Tukey HSD. P<0.05 was considered as the limit of significance.
Results: Tetric ceram revealed higher DCthan Supreme. Tetric ceram showed a significant decrease in DC when Coltolux 50 was used in comparison to LED and Optilux 501. The latters did not show significant effect on DC of this material. DC of Supreme polymerized with various curing modes was not significantly different.
Conclusion: Based on the results of this study, degree of conversion in hybrid composites was higher than nanofilled. In comparison with conventional halogen lamp (Coltolux 50), high intensity halogen lamps and LED unit significantly lead to higher degree of conversion in hybrid composites.
Volume 24, Issue 3 (6-2011)
Background and Aims: Marginal seal in class V cavities and determining the best restorative material to decrease microleakage is of great importance in operative dentistry. The aim of this study was to evaluate the effect of polishing time on the microleakage of three types of tooth-colored restorative materials in class V cavity preparations and to assess the marginal integrity of these materials using scanning electron microscope (SEM).
Materials and Methods: In this in vitro study, class V cavity preparations were made on the buccal and lingual surfaces of 30 bovine incisors (60 cavities). The specimens were divided into three groups each containing 10 teeth (20 cavities): group 1, Filtek Z350 (nanocomposite) group 2, Fuji IX/G Coat Plus (CGIC) and group 3, Fuji II LC (RMGI). In each group, half of the specimens (n = 20) were finished/polished immediately and the rest of them were finished/polished after 24 hours. All the specimens were thermocycled for 2000 cycles (5-50 °C). Epoxy resin replicas of 12 specimens (2 restorations in each subgroup) were evaluated using SEM and the interfacial gaps were measured. Finally, the teeth were immersed in 0.5% basic fuchsin dye for 24 hours at room temperature, sectioned and observed under stereomicroscope. The data were analyzed using Kruskal-Wallis and Mann-Whitney U tests and the comparison between incisal and cervical microleakage was made with Wilcoxon test.
Results: Incisal and cervical microleakage were not affected by polishing time in none of the three restorative materials (P>0.05). Cervical microleakage only in Fuji IX with immediate polishing was significantly higher than incisal microleakage (P<0.05). Incisal and cervical microleakage with immediate or delayed polishing were not significantly different in Fuji IX, Fuji II LC, and Z350 (P>0.05).
Conclusion: Immediate polishing is recommended in tooth-colored class V restorations.
Volume 25, Issue 3 (7-2012)
Background and Aims: Although composite resin restorations have many advantages, they can lead to several clinical problems. The primary reason for these problems is microleakage. The aim of this study was to compare the rebonding effect on microleakage of class V composite restorations using two low viscosity resins.
Materials and Methods: In this in vitro study, 60 class V composite restorations were performed in buccal and lingual surfaces of human extracted premolars with the occlusal margin in enamel and the gingival margin in dentin/cementum. The teeth were randomly divided into 3 groups: (I) restorations with no rebonding, (II) restoration margins rebonded with an enamel adhesive (Margin Bond), (III) restoration margins rebonded with a specific unfilled resin. The specimens were then thermocycled and immersed in 0.5% fuchsin dye solution. The samples were sectioned longitudinally and observed under a stereomicroscope for assessment of microleakage. The data were analyzed by Kruskal-Wallis, Wilcoxon and Mann-Whitney tests. P<0.05 was considered as the level of significance.
Results: Statistical analysis showed a significant difference in the microleakage of gingival margins (P<0.0001), but not in enamel margins (P=0.148). Microleakage at the gingival margins of group (III) was significantly less than that of group (II). Group (I) showed the highest amount of microleakage.
Conclusion: Rebonding by a low viscosity resin reduces microleakage at the gingival margins of class V composite restorations, but has no significant effect on the occlusal margins.
Volume 25, Issue 3 (7-2012)
Background and Aims: There is concern that leached components from dental composites may cause adverse changes in the reproductive health. This study aimed to assess the effects of leached components from a hybrid resin composite on the reproductive system of male mice.
Materials and Methods: In the present animal study, twenty adult Syrian male mice were divided into two groups of 10 mice each. In the test group, components which leached from samples made from Filtek Z250 resin composite into 75% ethanol were daily administered to the mice for 28 days. In the control group, the procedure was repeated in the same way as the test group but without placing composite samples in the solution. Then, the body weight, weights of paired testes, Gonado Somatic Index, sperm viability, sperm motility, epididymal sperm reserve and daily sperm production were recorded. Four male mice in each group were mated with untreated female mice for 10 days. After that, the number of pregnant females and number of infants were recorded. The data were analyzed using repeated measures ANOVA, Chi-square test and t-test.
Results: There was a significant reduction in the sperm viability and sperm motility of male mice in the test group compared to the control group (P=0.001). There was no any significant differences in other parameters between two groups (P>0.05).
Conclusion: This study showed that the leached components from resin composites cannot cause infertility but they could potentially cause some adverse effects on the reproductive system of male mice.
Volume 26, Issue 1 (3-2013)
Background and Aims: Polymerization shrinkage in Methacrylate-based composite is one of the most important factors in composite restorations failure. Silorane-based composite is introduced to compensate this drawback and claimed to have low shrinkage. The aim of this study was to evaluate the polymerization shrinkage of these two composites.
Materials and Methods: In this experimental study, 5 disk shape samples for each resin composites were placed in the centre of metallic ring bonded to microscopic glass slab. Top surface of ring was covered by a glass cover slip. Glass slab and sample were placed on a special LVDT holder in order to light cure from bottom surface and to measure the polymerization shrinkage. In this study, Deflecting Disk method and LVDT (linear variable differential transducer) was used for dimensional change measurement of resin composites. In this study, two LED curing units were used for composite polymerization.
Results: The mean of polymerization shrinkage in Z250 cured with LED and High Power LED was 11.15±0.08µm and 11.51±0.17µm, respectively (P=0.094), and in P90 cured with LED and High Power LED was 1.08±0.06µm and 1.16±0.12µm, respectively (P=0.019).
Conclusion: Silorane-based composite (P90) showed significantly less polymerization shrinkage than that of methacrylate-based composite (Z250). For the two types of composite, there was no significant difference between the two curing units in polymerization shrinkage.
Volume 26, Issue 4 (1-2014)
Background and Aims: Retention and stability of the post and core system is the key factor for success of final restoration . The aim of this study was to evaluate the microtensile bond strength of the different composite core materials and bonding systems to a fiber post.
Materials and Methods: To evaluate the bond strength of the composite resins to a fiber post ( DT light post) 60 posts were divided into six groups : group A: Heliomolar Flow + Seal Bond, group B: Heliomolar Flow + SE Bond , group C: Valux Plus + Seal Bond , group D: Valux Plus + SE Bond , group E: Corecem + Seal Bond, group F: Corecem + SE Bond. All samples were thermocycled for 5000 cycles (5-55 0C) and cut into four bars for the microtensile bond strength test. Failure modes were identified using a stereomicroscope. Data were analysed using One-way ANOVA and Tukey HSD post hoc test (P<0.05).
Results: The interaction between composite resin materials and bonding systems were positive. The conventional hybrid composite (Valux Plus) had significantly higher bond strength compared with the core specific flowable composite (Corecem) when Seal Bond was applied as bonding agent (P<0.05). However, when SE Bond was utilized hybrid composite demonstrated significantly lower bond strength than that of other two groups (P<0.05).
Conclusion: The performance of a particular composite is affected by the bonding system that is applied. A single composite resin may have different bond strength when combined with different bonding system.
Volume 30, Issue 4 (1-2018)
Materials and Methods: Three nanohybrid composites were evaluated: GC Kalore (GC), Aura (SDI), and G-ænial Universal Flo Universal Flo (GC). Ten disc-shaped samples were prepared for each material. After baseline weight measurement, the specimens were stored in distilled water for a period of 60 days, and then in desiccators for another 60 days. Specimens were weighed at 24 hours, 7 and 60 days of water storage and desiccation. For the microhardness test, 24 were prepared for each material and divided into 6 groups based on storage media (dry and wet) and storage time (24 hours, 7 days, and 60 days). Specimens were tested by a digital Vickers microhardness tester after storage and data were analyzed using SPSS software.
Results: G-ænial Universal Flo Universal Flo showed the highest sorption and solubility and the lowest microhardness after 60 days of water storage. GC Kalore showed lower sorption and solubility compared to Aura. Also GC Kalore had higher microhardness than Aura after 60 days of storage in water, while Aura had higher microhardness in dry storage.
Conclusion: Composites with lower sorption and solubility showed higher microhardnss in wet conditions. Flowable composite resin showed the lowest microhardness and the highest sorption and solubility values. Therefore, the negative effect of water sorption and solubility on Surface microhardness should be considered in clinical decisions.
Volume 31, Issue 3 (11-2018)
Materials and Methods: In this in-vitro experimental study, 48 extracted single-canal central incisors were endodontically treated. For the push out test, the posts were divided into 3 groups according to one of the following three different cement materials (n=16) (Bifix SE, Bifix QM, Rebilda). Three slices with a thickness of 2-mm were prepared of each root. The push-out tests were performed at a cross-head speed of 1 mm/minute using a universal testing machine. Data were analyzed by two-way and one-way ANOVA test followed by Tukey post hoc test (α=0.05).
Results: There was no significant differences between the mean push out bond strength of three experimental groups (P=0.650), but there were significant differences between the mean push out bond strength of root dentin regions (P<0.001).
Conclusion: Under the conditions of this study, there was no significant difference between the mean push out bond strength of 3 different resin cement systems. The coronal region of root dentin showed significantly higher mean bond strength values than that of the middle and apical thirds.
Volume 32, Issue 1 (7-2019)
Materials and Methods: First, composite cylinders with a diameter of 6 and a height of 5 mm were prepared using an incremental technique and a microhybrid resin composite. The specimens were stored in distilled water for 6 months at 37°C and then the surfaces of all aged compsites were roughened using diamond milling followed by phosphoric acid etching. The specimens were randomly subjected into five groups. Group 1: GC Composite Primer. Group 2: Universal bonding containing silane (Kuraray). Group 3: Self etching adhesive (SE bond; Kuraray) Group 4: silane (Ivoclar Vivadent) + Second bottle of SE bond bonding system (Kuraray). Group 5: control group with no treatment. Then, 5 mm incremental of new composite (similar to the aged composite with different color) were placed on the surfaces of specimens, sectioned, and thermocycled for 3000 cycles for the microtensile bond strength evaluation. The specimens were evaluated using a stereomicroscope after failure. Data were analyzed by one-way ANOVA and Post Hoc Tukey test.
Results: The specimens in which silane and SE bond were used showed the highest mean microtensile bond strength and those treated by universal bond showed the least bond strength which were significantly different (P=0.02). All samples had cohesive failure patterns in all groups and the percentage of failures in old and new composites did not differ significantly (P=0.69).
Conclusion: : Based on the results, all surface preparations used in this study could provide an appropriate bond strength for repair of old composite restorations. Also, the microtensile bond strength between the old and new composites was higher than the cohesive strength of resin composite itself. However, the mean microtensile bond strength value for the group treated by universal bond was significantly lower than those treated by silane and hydrophobic containing bonding system.
Volume 33, Issue 3 (10-2020)
Materials and Methods: In this in-vitro study, 88 premolar teeth were divided into eight groups based on the application of copper oxide nanoparticles with concentrations of 0.1% and 0.3% w/w and thermocycling by 0, 1000, 5000 and 15,000 cycles. The occlusal grooves of the teeth were sealed with the mixture of flowable composite and copper oxide nanoparticles, and the teeth were thermocycled. Next, the teeth were immersed in methylene blue 2% solution for 24 hrs and were cut and the microleakage was evaluated by a stereomicroscope (hp/USA). Data were analyzed using Kruskal-Wallis and Mann-Whitney tests at the significance level of 0.05.
Results: In the groups with 0.1 % copper oxide nanoparticles, the mean microleakage increased significantly with increasing the number of thermocycling rounds (P=0.032). The difference in the microleakage between the groups exposed to 0 and 15,000 termocycling was significant (P=0.019). However, thermocycling had no significant effect on the microleakage of groups with concentration of 0.3% (P=0.780). The specimens subjected to the 0, 1000, 5000 and 15000 thermocycling in two concentrations of copper oxide nanoparticles showed no significant difference in the microleakage.
Conclusion: In groups containing copper oxide nanoparticles with a concentration of 0.1%, the microleakage increased by increasing the number of thermocycling up to 15,000 cycles compared to the control group. However, this did not have significant effect for the concentration of 0.3% copper oxide nanoparticles.
Volume 35, Issue 0 (5-2022)
Materials and Methods: Eighty standardized disk-shaped specimens (4×2 mm) were prepared from two nanocomposites (n=40), including one nano-filled composite (Filtek Z350 XT-3M ESPE, USA) and one nano-hybrid composite (Aelite Aesthetic Enamel-Bisco, Inc. Schaumburg, USA). The specimens were randomly divided into 4 subgroups (n=10) based on the method of finishing (F) and polishing (P) procedures: M: as control, polymerized under Mylar strip; S: finish and polish with a sequence of Sof-Lex discs (3M ESPE, USA); SP: finish and polish with Sof-Lex discs and use of Permaseal liquid polish (Ultradent products, Inc. USA); SB: finish and polish with Sof-Lex discs and use of Biscover liquid polish (Bisco, Inc. Schaumburg, USA). The specimens were undergone pH cycling and brushing machine and then, the average surface roughness (Ra) and average profile changes along the desired area (Rz) of the specimens were determined with profilometer instrument. Two-way and one-way analysis of variance (ANOVA) was used to compare the mean of surface roughness. Then, Tukey test was used to identify the groups responsible for the difference and t-test was used to compare the mean of surface roughness.
Results: The type of composite and the method of polishing procedure had no effect on the mean Ra (P=0.733) but it had significant effect on Rz1 factor (P=0.025).
Conclusion: Using liquid polish after polishing discs had no effect on the polish retention of nanocomposites.
Volume 38, Issue 0 (4-2025)
Materials and Methods: In this cross-sectional study, 48 patients who referred to the restorative department of Jundishapur University of Ahvaz for composite veneer treatment were participated. The PIDAQ questionnaire was used to investigate the aesthetic effects of composite veneer treatment on the psychosocial conditions of the patients, and the OHIP-14 questionnaire was used to investigate the quality of life related to oral health. Patients were asked to complete both questionnaires before treatment and one month after composite veneer treatment. Also, demographic information including age, sex, education and marital status of the patients were recorded. The purpose and benefits of participating in this study were fully explained to the patients and the patients voluntarily participated in this study. Then, an informed consent form was given to the patients. In order to compare the scores before and after the treatment, the paired T-test and its non-parametric equation expression (Will-Coxon) were used, and P<0.05 was considered.
Results: According to the results, the average age of the respondents was 28 years. In terms of gender, 54.2% of the patients were male, and in terms of education, most of the participants in the study had a bachelor's degree (35.4%). The total score of OHIP-14 before treatment was 26 and after treatment 22. Also, the total score of PIDAQ before treatment was 49 and after treatment 28. Comparing the scores of psychosocial effects and quality of life related to the oral health before and after composite veneer treatment showed that there was a difference between the average score of psychosocial effects and quality of life. There was a significant difference related to the oral health before and after composite veneer treatment, which significantly decreased after treatment (P<0.05).
Conclusion: The present study showed that suitable veneer composite treatments could improve the oral health related to the quality of life of people. Also, treatment with composite veneers could have a significant effect on patients' self-confidence. Composite veneers could reduce social effects, psychological effects, and cosmetic concerns related to patients’ teeth.
Volume 39, Issue 0 (3-2026)
Materials and Methods: In this in vitro study, which conducted at the Faculty of Dentistry, Urmia University of Medical Sciences, 60 disk-shaped composite specimens were fabricated with standard dimensions. After undergoing artificial aging (storage in distilled water for 6 months), their surfaces were roughened mechanically using a diamond bur. The specimens were randomly divided into three groups (n=20) and repaired using fifth-generation (Adper Single Bond), seventh-generation (OptiBond All-In-One), and universal (Single Bond Universal) adhesives, followed by the application of new composite. All specimens were subjected to thermocycling, and the shear bond strength was measured using a universal testing machine. Fracture patterns of the samples were also examined using a stereomicroscope to determine the modes of failure. Data were analyzed using one-way ANOVA and Chi-square tests in SPSS at a significance level of 0.05.
Results: The mean shear bond strengths were 15.22 ± 4.47 MPa for Adper Single Bond, 14.05 ± 4.66 MPa for OptiBond All-In-One, and 13.44 ± 4.68 MPa for Single Bond Universal. No statistically significant differences were found among the groups (P=0.468). Fracture pattern distribution was also not significantly different (P=0.453), with predominantly cohesive or mixed failures observed across all groups. No adhesive failures were observed.
Conclusion: Under standardized surface preparation, none of the tested adhesive systems demonstrated a statistically significant advantage in the shear bond strength between the aged and new composite. Therefore, the choice of adhesive in composite repair procedures can be guided by practical considerations such as product availability, ease of application, and dentist preference.
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