Search Results (360)

Aim: The aim of this study was to comparatively evaluate the shear bond strengths between different calcium silicate-based biomaterials and glass ionomer-based restorative materials. Materials and Methods: In this in vitro study, a total of 96 acrylic blocks were prepared, each containing a standardized cylindrical cavity measuring 4 mm in diameter and 2 mm in depth. Four different calcium silicate-based biomaterials (ProRoot MTA, Biodentine, TheraCal LC, and MTA BioRep) were placed into the cavities according to the manufacturers’ instructions. Three different glass ionomer restorative materials (Fuji II LC, Equia Forte HT, and Riva Self Cure) were then applied onto the biomaterial surfaces using molds measuring 2 mm in diameter and 2 mm in height, resulting in 12 experimental groups (n = 8). After storage at 37 °C for 24 h, the shear bond strengths were measured using a universal testing machine. The data were analyzed using the Kruskal–Wallis and Mann–Whitney U tests with Bonferroni correction (p < 0.05). Results: The highest bond strength was observed in the TheraCal LC–Fuji II LC combination, whereas the lowest value was obtained in the MTA BioRep–Equia Forte HT group. Both the type of biomaterial and type of glass ionomer cement had a statistically significant effect on the bond strength (p < 0.05). Conclusions: The combination of calcium silicate-based biomaterial and glass ionomer-based restorative material influenced the early shear bond strength. These findings suggest that material selection may play an important role in early bonding behavior at the biomaterial–restorative material interface. Full article

Objectives: The aim of the present systematic review and meta-analysis is to compare bracket adhesion failure rates between resin-modified glass ionomer cement (RMGIC) and conventional resin adhesives (CRA) during fixed orthodontic treatment (OT), based on evidence from randomized controlled trials (RCTs). Methods: The research question is “Is there a difference in bracket adhesion failure rates between RMGIC and CRA?” The study was performed in accordance with the PRISMA guidelines. A comprehensive literature search was performed across multiple databases without time or language restrictions through February 2026. Keywords were used in different combinations using Boolean operators. Hand searching was performed and disagreements were resolved via discussion. The risk of bias (RoB) and certainty of evidence (CoE) were assessed using the Cochrane risk of bias tool and Grading of Recommendations Assessment, Development and Evaluation approach, respectively. Quantitative data synthesis was conducted using a random-effects model to calculate pooled odds ratios and 95% confidence intervals. Results: Seven RCTs met the inclusion criteria. Bracket failure rates ranged from 5.95% to 15.0% for RMGIC and 3.4% to 25.0% for CRA. The pooled meta-analysis revealed no statistically significant difference in bracket failure between the two adhesive types (OR = 1.00; 95% CI: 0.60 to 1.67), although substantial statistical heterogeneity was observed (I² = 69.0%, p = 0.0065). One included trial demonstrated significantly improved retention for RMGIC when combined with a specific enamel deproteinization conditioning step prior to bonding. Three studies had a low RoB and the remaining were judged as having “some concerns”. The overall CoE was low. Conclusions: Based on the currently available randomized evidence, no statistically significant difference in bracket adhesion failure rates was observed between RMGIC and CRA during fixed OT. However, given the low CoE, substantial heterogeneity among studies, and relatively short follow-up periods, these findings should be interpreted with caution. Further well-designed randomized controlled trials with longer follow-up are needed to provide more definitive conclusions. Full article

This in vitro study evaluated and compared the shear bond strength (SBS) of three restorative materials bonded to dentin: a glass hybrid ionomer (EQUIA Forte HT), a resin-modified glass ionomer (RIVA Light Cure), and a nanofilled composite resin (Filtek Z350 XT). Additionally, their modes of failure were assessed. Thirty extracted human teeth were prepared and randomly assigned to three groups (n = 10) by restorative material: Group 1: Filtek Z350 XT; Group 2: EQUIA Forte HT; Group 3: RIVA Light Cure. All materials were applied following manufacturer instructions. SBS testing used a universal testing machine, applying a load at the tooth–restoration interface at 1 mm/min until failure. SBS values were recorded in megapascals (MPa). Failure modes were examined under a stereomicroscope at 40× magnification. A one-way ANOVA compared mean SBS among groups, with post hoc tests for pairwise group comparisons. Results: Filtek Z350 XT had the highest mean SBS (21 MPa), followed by RIVA Light Cure (7.5 MPa) and EQUIA Forte HT (7.2 MPa). One-way ANOVA indicated a statistically significant difference in SBS (p < 0.05). Post hoc analysis showed Filtek Z350 XT had significantly higher SBS than the glass ionomer-based materials, while EQUIA Forte HT and RIVA Light Cure did not differ significantly. Conclusions: Filtek Z350 XT demonstrated significantly higher shear bond strength to dentin than the glass ionomer-based materials. No significant SBS difference was found between the resin-modified and hybrid glass ionomers. Full article

Surface hardness is a fundamental parameter influencing wear resistance, durability, and the interaction of occlusal ramps with opposing enamel during orthodontic treatment. Five commercially available materials (Harmonize, Leone F3172-01, Transbond™ XT, Band and Build LC, and Ultra Band-Lok) and one experimental material (Composite RK-F10) were evaluated for bite ramps. Twelve standardized specimens (n = 2 per material) were prepared using EVA molds and polymerized according to manufacturers’ instructions or internal protocols. Vickers microhardness (HV) was measured following ASTM E384-16 using a 500 g load, 20 s dwell time, and ten indentations per specimen. Load dependence was assessed (25–2000 g). Surface morphology was analyzed by SEM, and cytotoxicity of eluates was evaluated on dental pulp stem cells (DPSCs) and monocyte/macrophage cell lines using CCK-8 assays (ISO 7405, ISO 10993). Significant differences in hardness were observed among materials (p < 0.05). Harmonize (64.5 ± 1.6 HV), Band and Build LC (64.4 ± 1.9 HV), and Ultra Band-Lok (64.1 ± 2.0 HV) showed the highest values, whereas Transbond™ XT exhibited the lowest value (53.7 ± 6.0 HV). Composite RK-F10 demonstrated intermediate hardness and good cytocompatibility. SEM analysis revealed differences in surface homogeneity and filler distribution. Overall, the materials exhibited distinct mechanical and biological profiles. The combined Vickers microhardness, short-term (24 h) cytotoxicity, and SEM data provide an integrated preliminary in vitro characterization of materials for bite ramps. The observed differences contribute to a comparative description of their physico-biological behavior. Full article

Polymerization shrinkage remains a primary cause of marginal failure in posterior composite restorations, contributing to interfacial gap formation and secondary caries development. Bioactive filler technologies represent a paradigm shift, offering simultaneous stress reduction and therapeutic ion release through engineered matrix–filler interactions. This narrative review synthesizes current evidence on how bioactive glass (including 45S5), amorphous calcium phosphate, and surface pre-reacted glass-ionomer fillers modulate polymerization shrinkage dynamics and mechanical performance in bulk-fill systems. These systems exhibit distinct mechanisms of bioactivity, with bioactive glass (45S5) promoting ion release and apatite formation, amorphous calcium phosphate (ACP) enabling rapid calcium phosphate ion delivery for remineralization, and surface pre-reacted glass-ionomer (S-PRG) fillers providing sustained multi-ion release with buffering and antibacterial potential. A comprehensive literature search was conducted in PubMed/MEDLINE, Scopus, and Web of Science for studies published up to June 2025, including experimental investigations and reviews assessing bioactive filler integration, with studies selected based on predefined inclusion and exclusion criteria focusing on relevance and reported outcomes. The available evidence indicates that optimized bioactive formulations reduce shrinkage stress by approximately 25–40%, decreasing from 35–40 MPa in conventional systems to 22–32 MPa in bioactive bulk-fill composites while maintaining flexural strength above 100 MPa and elastic modulus within clinically acceptable ranges (11–13 GPa). However, substantial heterogeneity in filler chemistry, loading protocols, and testing methodologies limits cross-study comparisons. This variability also reflects differences in testing conditions, material compositions, and evaluation protocols across studies. 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

Background: Biofilm formation and associated tooth demineralization are key factors influencing the clinical performance of dental materials. Methods: This study compared the antibiofilm and demineralization preventive effects of two zinc-modified glass ionomer cements (Zn-GICs) with a conventional GIC. Disk-shaped specimens of Caredyne Restore (CR), ChemFil Rock (CFR), and Ketac Molar (KM) (n = 6) were evaluated in a multi-species biofilm model using an oral biofilm reactor. Early biofilm formation was analyzed by scanning electron microscopy (after 2 h and 4 h), bacterial accumulation and water-insoluble glucan (WIG) production were quantified (after 12 h). For demineralization assessment, restored human enamel and dentin specimens (n = 6) including an additional resin-based control group (Dura Seal, DS) were subjected to a 14-day biofilm challenge and lesion depth was measured using swept-source optical coherence tomography and confocal microscopy. Results: CR showed significantly lower bacterial accumulation and WIG production than the other materials (p < 0.05). CFR demonstrated lower bacterial levels than KM (p < 0.05), whereas no significant differences were observed between CFR and KM in WIG production (p > 0.05). CR produced the shallowest enamel and dentin lesions, whereas DS exhibited the deepest (p < 0.05); however, no statistically significant differences were observed between CFR and KM in lesion depth (p > 0.05). Conclusions: CR demonstrated superior biofilm suppression and reduced demineralization, whereas CFR showed limited differences compared with the conventional GIC. Full article

Background/Objectives: Root perforation treatment is essential for restoring the tightness of the root system, preventing periradicular inflammation and tooth loss. The present study aimed to evaluate the biocompatibility of Ketac™ Molar EasyMix as well as conduct a thorough morphological and structural characterization of the material, considering its potential use in managing root perforations. Methods: Morpho-structural characterization was performed by scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDX), Fourier-transform infrared spectroscopy (FT–IR), and X-ray diffraction (XRD). Biocompatibility tests were performed on osteosarcoma cell line (ATCC—G 292 CRL-1423), monitoring metabolic activity and cell viability (MTT, n = 3), as well as the inflammatory response (nitric oxide—NO, n = 6), after 24 and 48 h of incubation. The control group consisted of cells unexposed to the material. Results: Microstructurally, the material exhibits a heterogeneous structure, along with pores and cracks. The specific bonds of the material, including both organic acid (COO⁻, O-H) and the glass components (Si-O-Al, Ca-O, C-F), were identified by FT-IR, while the crystalline phase composed of calcium fluorolanthanate was determined by XRD. Moreover, in vitro metabolic activity and viability test (MTT) showed a decrease of ~28% (p = 0.029) and ~30% (p = 0.150) after 24 and 48 h for samples incubated with Ketac™ Molar EasyMix. The statistically significantly increased levels of NO (p = 0.002, p = 0.004) suggest that the cells are trying to adapt to the environment that they have been exposed to. Conclusions: Within the limitations of the present study, under the tested conditions, our results suggest that Ketac™ Molar EasyMix maintained cell viability close to the 70% threshold defined by ISO 10993-5:2009, indicating a borderline biological response, a feature that may be influenced by the composition and behavior of the material. Full article

Aim: The aim of this study is to evaluate the effect of restorative crown materials with different elastic moduli on stress distribution in dentin and supporting tissues of pulpotomized primary anterior teeth under multi-directional loading conditions using the three-dimensional finite element analysis method. Materials and Methods: A three-dimensional model of a maxillary primary central incisor was created based on anatomical data. A clinical pulpotomy scenario was simulated using mineral trioxide aggregate (MTA) and resin-modified glass ionomer cement. Three models were analyzed: healthy tooth (control), Bioflx crown, and prefabricated zirconia crown. Frontal, oblique, and vertical loads were applied to represent functional and traumatic conditions. von Mises and principal stress distributions in the crown, dentin, and supporting tissues were evaluated. Results: In the prefabricated zirconia crown group, higher von Mises stress values were observed under all loading conditions, with significant stress concentrations particularly in the cervical region. In contrast, the Bioflx crown group exhibited lower stress values and a more homogeneous stress distribution. While the stress patterns in the Bioflx group were found to be closer to those of the control group, more localized stress accumulation was observed in the zirconia crowns. No significant differences were observed between the groups in the bone tissue. Conclusions: The elastic modulus of restorative materials plays a decisive role in the stress transfer mechanism. It is believed that materials with dentin-like mechanical properties may provide a more balanced and physiological stress distribution. Multi-directional loading analysis highlights the importance of evaluating the biomechanical behavior of restorative materials under more realistic conditions. Further advanced experimental and clinical studies are needed to clinically validate these findings. Full article

Background: The aim of this study was to investigate the effect of 2% chitosan nanoparticles (NPs) as an irrigating solution during pulp revascularization of immature dog teeth using histological and histomorphometric analyses. Materials and Methods: Pulp necrosis and periapical pathosis were induced in 52 incompletely formed roots in four dogs (6–8 months age). These teeth were randomly allocated to Group I (n = 20; irrigation with NaOCl + EDTA) and Group II (n = 20; irrigation with NaOCl + chitosan NPs); DAP was used as a medication in both groups. Positive control (6 roots): teeth with induced periapical infections, no treatment procedure, and left open. Negative control (6 roots): teeth that were left untreated for the normal maturation process. Each experimental group was subdivided into two subdivisions in accordance with the post-treatment evaluation periods (1–3 months). The experimental teeth were re-entered following the infection period and disinfected using the assigned irrigation and medication protocol, and the access cavities were sealed. After the evaluation period, medication was removed, and blood clot formation was created through over-instrumentation. Mineral trioxide aggregate (MTA) was applied, followed by glass ionomer restoration (GIC). Results: At both 1 and 3 months, Group II demonstrated significantly superior histological organization and higher collagen-positive area percentages compared with Group I (p < 0.01), while the negative control showed the highest values and the positive control the lowest. Conclusions: Irrigation with 2% chitosan NPs significantly improved regenerative outcomes compared with the conventional NaOCl/EDTA protocol in immature canine teeth. Full article

Background/Objectives: Dental caries is one of the most prevalent chronic diseases in childhood, disproportionately affecting socially vulnerable populations. This scoping review aimed to analyze the clinical effects of selected minimally invasive materials and approaches, specifically mouthrinses, fluoride varnishes, silver diamine fluoride, and glass ionomer-based interventions, for the prevention and management of dental caries in pediatric patients, with emphasis on public health and community-based settings. Methods: This scoping review followed the Population, Concept, and Context (PCC) framework. Electronic searches were conducted up to 23 January 2026, using tailored strategies for mouthrinses, fluoride varnishes, silver diamine fluoride (SDF), and glass ionomer cements (GICs). Randomized clinical trials (RCTs) were included. Data extraction and qualitative synthesis focused on clinical outcomes and applicability in public health contexts. Results: Fifty-five RCTs were included. Fluoride- or chlorhexidine-based mouthrinses showed potential in controlling cariogenic biofilm, with evidence primarily based on microbiological outcomes. Fluoride varnishes were associated with enamel remineralization and control of early white spot lesions, particularly in supervised programs. SDF was reported to achieve high caries’ arrest rates in cavitated dentin lesions of primary teeth, while its preventive effect on sound surfaces appeared comparable to other fluoride-based interventions. GICs were associated with acceptable clinical performance as pit-and-fissure sealants and in atraumatic restorative treatment. Conclusions: Minimally invasive dentistry (MID) approaches show promise for the prevention and management of childhood dental caries in public health and community-based settings. However, these findings should be interpreted with caution due to the heterogeneity of interventions and outcome measures, the predominance of short-term and surrogate (microbiological) outcomes, and the absence of a formal risk-of-bias assessment. As a scoping review, the synthesis is narrative in nature, which limits the ability to draw definitive conclusions. Further studies with standardized clinical outcomes and longer follow-up are needed to strengthen the evidence. Full article

Background and aim: The influence of fabrication techniques, cement type, and cyclic loading on the marginal adaptation of lithium disilicate crowns remains a clinical concern that may affect their long-term performance. This study aimed to evaluate the effects of cyclic loading and cement type on the marginal fit of milled and pressed lithium disilicate crowns. Methods: Twenty lithium disilicate crowns were fabricated and divided into two groups based on the manufacturing technique: milled and pressed (n = 10 each). Each group was further subdivided according to the cement type: resin or resin-modified glass ionomer (n = 5 per group). Crowns were cemented on standardized epoxy resin dies, and the marginal gap was measured using a stereomicroscope before and after cyclic loading. Cyclic loading was performed at 50 N for 37,000 cycles. Data were statistically analyzed using a three-way ANOVA (α = 0.05). Results: Milled crowns showed marginal gaps ranging from 52 to 57 µm, whereas the pressed crowns exhibited smaller gaps ranging from 39 to 47 µm. Neither the cement type nor the cyclic loading produced a significant difference in the marginal gap values (p > 0.05). Conclusions: Pressed lithium disilicate crowns exhibited superior marginal adaptation compared with the milled crowns. Neither the type of cement nor the cyclic loading had a significant effect on the marginal gap. Both fabrication techniques yielded clinically acceptable fits (<100 µm). Full article

Advances in dental material science over recent decades have significantly improved the mechanical, physical, esthetic, and adhesive properties of restorative systems. As clinical performance and durability have reached high standards, research has progressively shifted from purely mechanical replacement toward the development of bioactive materials capable of interacting beneficially with biological tissues. Rather than functioning solely as passive restoratives, contemporary materials are increasingly designed to contribute to disease prevention and tissue repair. Bioactive functionality encompasses both bioprotective and biopromotive effects, including antimicrobial activity, reinforcement of the dental substrate, promotion of remineralization, modulation of inflammatory responses, and stimulation of regenerative pathways. In this context, the surface pre-reacted glass ionomer (S-PRG) particle has emerged as a multifunctional bioactive technology. Its unique three-layer structure enables sustained release of multiple ions, fluoride, strontium, boron, sodium, silicate, and aluminum, associated with mineralization, biofilm inhibition, inflammatory regulation, and activation of cellular signaling pathways. An integrative review was conducted through a literature search in PubMed, SciELO and Scopus using the descriptors “Surface-reaction-type prereacted glass ionomer” and “S-PRG.” Experimental studies evaluating antimicrobial, anti-inflammatory, remineralizing, cellular, or regenerative effects of S-PRG-containing materials were considered eligible. A total of 49 studies met the inclusion criteria and were analyzed through descriptive synthesis. The available evidence indicates that the biological activity of S-PRG-containing materials extends beyond caries prevention, including modulation of inflammatory responses, enhancement of mineralization processes, and stimulation of cellular pathways related to tissue repair. These findings highlight the potential of S-PRG technology as a promising strategy for the development of restorative materials with regenerative and preventive properties. Full article

Glass ionomer cements (GICs) are considered functionally biomimetic as they participate in ion-exchange processes that partially resemble the behavior of natural enamel and dentin, chemically bond to dental hard tissues, and release fluoride. While GICs are designed to interact with aqueous oral environments, their exposure to dietary beverages may affect their esthetic stability and water-related behavior within the oral environment. For biomimetic restorative materials to perform successfully in the oral environment, they must maintain not only bioactive properties but also esthetic stability and resistance to water-related degradation during exposure to dietary beverages. This study evaluated beverage-induced color changes, water sorption, and water solubility of six GICs following their immersion in coffee, tea, berry juice, cola, and distilled water (n = 5 per material per solution). Color measurements were recorded at baseline and after 2, 4, 6, and 8 weeks using a spectrophotometer, and color change (ΔE) values were calculated using the CIE L*a*b* system. Specimen mass was measured at baseline, after 8 weeks of immersion and then after 4 weeks of desiccation. Data were analyzed using repeated-measures Analysis of Variance (ANOVA) and Fisher’s least significant difference post hoc tests (α = 0.05). The results showed time, material, and solution significantly affected ΔE (p < 0.001). Tea produced the greatest discoloration overall, followed by coffee. ChemFil exhibited the greatest staining susceptibility, while Fuji II showed the lowest staining susceptibility. Water sorption and solubility were material- and solution-dependent. Clinically relevant discoloration of GICs was found when immersed in common beverages over time, with tea showing the strongest staining effect. These findings indicate that although GICs exhibit biomimetic characteristics through their interaction with tooth structures and aqueous environments, their long-term esthetic stability and resistance to environmental challenges should also be considered when selecting restorative materials for clinically visible areas. Full article

Background: Indirect pulp treatment (IPT) is a conservative approach aimed at preserving pulp vitality in teeth with deep carious lesions. In adult patients, however, evidence comparing different liner materials remains limited. Objectives: To assess the 12-month clinical and radiographic outcomes of IPT performed with Biodentine and resin-modified glass ionomer cement (RMGIC) in mature permanent teeth. Methods: A split-mouth clinical study was conducted in adult patients presenting with deep carious lesions in vital permanent teeth. Following selective caries removal, IPT was completed using Biodentine or RMGIC under a standardized operative protocol. Clinical and radiographic evaluations were performed at baseline and after 12 months. Outcomes included pulp vitality, postoperative pain, and radiographic changes. Results: At 12 months, pulp vitality was preserved in over 90% of treated teeth in both groups, with no statistically significant differences between materials. Teeth treated with Biodentine showed lower postoperative pain scores at 24 h compared with those treated with RMGIC, although this difference resolved within the first postoperative week. Radiographic outcomes were comparable between groups, with a low incidence of periapical changes. Conclusions: Within the limits of this interim analysis, IPT performed with either Biodentine or RMGIC resulted in similar clinical and radiographic outcomes in mature permanent teeth. These findings indicate that pulp vitality preservation can be achieved using different liner materials when minimally invasive principles and effective coronal sealing are applied. Extended follow-up is required to evaluate long-term durability. Full article