Search Results (243)

Efforts to enhance the mechanical and physicochemical properties of conventional glass ionomer cement (GIC) are ongoing. This study aimed to evaluate the effect of incorporating varying concentrations of frankincense and myrrh liquids into conventional GIC on its microhardness and sealing ability. Frankincense and myrrh liquids were prepared by dissolving 25 g of each ground resin in 50 mL of distilled water at 60 °C and allowing the solutions to stand for 8 h. Five experimental groups were evaluated: Group A (conventional GIC), Group B (15% frankincense-modified GIC), Group C (25% frankincense-modified GIC), Group D (15% myrrh-modified GIC), and Group E (25% myrrh-modified GIC). Microhardness was evaluated using a Vickers hardness tester, and sealing ability was evaluated via interfacial gap measurements using scanning electron microscopy (SEM). SEM analysis revealed that all modified GIC groups exhibited significantly smaller interfacial gap sizes (Groups B–E: 6.1, 5.22, 5.9, and 5.34 µm, respectively) compared to conventional GIC (Group A: 6.88 µm). However, there were no statistically significant differences in microhardness among the groups (p > 0.5). The incorporation of 15% and 25% concentrations of frankincense or myrrh liquids into conventional GIC significantly improved sealing ability without compromising hardness. Full article

Objective: Due to the increasing esthetic demand among pediatric patients and different restorative materials, we focused on analyzing which of the options of restorations may provide superior clinical outcomes. Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) using PubMed and Cochrane databases. Results: Five articles met all inclusion criteria from an initial pool of 359 articles identified in the initial search. Greater bond strength was observed when pulpotomized teeth were restored with Biodentine^® and resin composites compared to resin-modified glass ionomer cements (RMGICs). When comparing pulpotomies in primary teeth with MTA and Biodentine^®, the fracture resistance values were higher in the pulpotomized teeth with Biodentine^® than with MTA. Additionally, following a narrative synthesis in MTA-treated teeth, a higher risk of failure was observed using RMGICs or composite instead of stainless-steel crowns (SCCs) as the final restorative material. Conclusions: Variables such as the type of final restoration can affect the survival of primary teeth after pulpotomy reconstruction. Regardless of the pulp material, survival with SSCs is higher, but resin composites appear to be a viable restorative material after Biodentine^® application. Full article

Glass ionomer cements (GICs) are bioactive restorative materials valued for their sustained ion release and remineralisation capacity. However, their long-term interactions with sound enamel and dentine remain underexplored. This 12-month in vitro study aimed to evaluate microstructural and compositional changes in sound dental tissues adjacent to four GICs—Ketac Universal, Fuji IX and Equia Forte Fil (conventional GICs) and the advanced Glass Carbomer (incorporating hydroxyapatite nanoparticles)—using field-emission scanning electron microscopy (FE-SEM) and energy-dispersive X-ray spectroscopy (EDS). Glass Carbomer uniquely formed hydroxyapatite nanoparticles and mineralised regions indicative of active biomineralisation—features not observed with conventional GICs. It also demonstrated greater fluoride uptake into dentine and higher silicon incorporation in both enamel and dentine. Conventional GICs exhibited filler particle dissolution and mineral deposition within the matrix over time; among them, Equia Forte released the most fluoride while Fuji IX released the most strontium. Notably, ion uptake was consistently higher in dentine than in enamel for all materials. These findings indicate that Glass Carbomer possesses superior bioactivity and mineralising potential which may contribute to the reinforcement of sound dental tissues and the prevention of demineralisation. However, further in vivo studies are required to confirm these effects under physiological conditions. Full article

The continuous need for simplified, minimally invasive restorative procedures with a high precision has led to the advancement of highly filled flowable resin-based materials. These materials present excellent initial outcomes in various clinical applications, including the injection molding technique. Given that several clinical reports present signs of wear and staining, this systematic review aims to investigate the mechanical and optical properties of highly filled flowable composite resins. A comprehensive literature research was conducted to identify relevant studies from the PubMed, the Cochrane Library, and Scopus databases. Data extraction and screening was performed by two independent evaluators. Both in vitro studies and clinical trials were included. A total of thirty-one studies were included in this review. A total of 27 in vitro studies investigated highly filled flowable composite resins independently, or in comparison with conventional composite resins, traditional flowable composites, bulk-fill flowable composites, glass ionomer cements, and compomers. Additionally, four randomized controlled clinical trials (RCTs) compared highly filled flowable composite resins with their conventional counterparts. Highly filled flowable composite resins exhibit adequate optical properties. Despite their significant improvements, their mechanical properties remain inferior to those of medium-viscosity composite resins. These materials demonstrate a favorable initial performance in the injection molding technique. Based on a limited number of RCTs, these materials demonstrate an adequate performance in class I and II restorations; however these findings should be interpreted with caution. The reported drawbacks in laboratory studies may contraindicate their clinical application in extensive cavities, load-bearing areas, and in cases of excessive tooth wear and parafunctional activity. A careful clinical case selection is strongly recommended. Full article

Objective: Fluoride is widely recognized for its preventive role against secondary caries. This systematic review aimed to evaluate how environmental and material factors influence fluoride ion release from metal-reinforced glass ionomer cements. Methods: A structured literature search was performed in March 2025 across PubMed, Scopus, and Web of Science databases. Search terms included combinations of fluoride release AND glass ionomer AND silver OR zinc OR strontium OR copper. The study selection process followed PRISMA 2020 guidelines and was organized using the PICO framework. Out of 281 initially identified records, 153 were screened based on titles and abstracts. After applying predefined eligibility criteria, 23 studies met the inclusion requirements and were included in the qualitative analysis. Results: Among the 23 included publications, 12 involved glass ionomers modified with silver, and 6 of these reported an increase in fluoride release. Seven studies focused on zinc-modified cements, and four examined materials reinforced with strontium. Conclusions: The addition of strontium, titanium oxide, silver nanoparticles, or zirconium oxide increases the release of fluoride ions, while sintered silver reduces it. There is a great discrepancy among researchers regarding the effect of the addition of zinc oxide and its appropriate amount in the glass ionomer material. Full article

Background and Objectives: The aim of this study was to evaluate how the indirect pulp capping treatment approaches and material choices used by dentists actively practicing in Turkey vary according to demographic data. Materials and Methods: Dentists practicing in Turkey were included in this study. A 13-question survey was used and distributed to the participants via social media. The statistical analysis of the data obtained from this study was performed using IBM SPSS v23. The chi-square test was used to compare categorical variables between groups, and multiple comparisons of the proportions were analyzed using the Bonferroni correction. The results of the analysis are presented as frequencies (percentages) for categorical data. The significance level was set at p < 0.05. Results: A total of 402 dentists from across Turkey participated in this study. A total of 331 participants (82.3%) reported that they performed indirect pulp capping treatment. The most commonly used materials for indirect pulp capping were Ca(OH)₂;-containing liners (73.4%) and glass ionomer cement (58.3%). The use of amalgam and cotton roll isolation was more common among dentists working in the public sector, whereas rubber dam isolation and the use of contemporary materials such as MTA and Biodentine were more frequently observed among dentists working in the private sector. Conclusions: Significant differences were found in the dentists’ indirect pulp capping approaches and the materials they used based on their specialty, years of experience, and workplace setting. These findings suggest that dentists’ knowledge and experience regarding indirect pulp capping should be enhanced during their education and post-graduation training. Full article

The aim of this research was to compare the growth-inhibitory effect of halloysite-based nanotubes preloaded with sodium fluoride incorporated into two commercial glass ionomers (Vitrebond 3M^TM and Ionobond VOCO) for indirect pulp capping. Methods: Sixty samples were prepared and were distributed into two control groups, two positive control groups and two experimental groups. A total of 10% of the total weight of ionomer powder required to prepare each sample was replaced with nanotubes that had been preloaded at 2000 parts per million (minimum inhibitory dose for Streptococcus mutans established in this study using the McFarland index). The growth-inhibitory effect was determined by placing the samples in Petri dishes inoculated with S. mutans for 24 h at 37 °C. Results: Regarding the control groups, only Vitrebond demonstrated a growth inhibition zone; both experimental groups showed an inhibitory effect, and statistical differences were observed when the experimental Ionobond group and control groups were compared. Conclusions: The ionomers reinforced with fluorine-modified nanotubes showed an adequate inhibitory effect on Streptococcus mutans. Full article

Glass ionomer cements (GICs) have been clinically attractive dental restorative materials for many years and are widely used as luting, lining, and restorative materials. However, these materials still have limitations in terms of weak physio-mechanical properties. The aim of the study was to evaluate the effect of zirconium oxide nanoparticles (nano-ZrO₂ particles) on the physical and mechanical properties of two commercially available GICs. Four groups were prepared for each material: the control group (without nanoparticles) and three groups modified by the incorporation of nanoparticles at 2, 5, and 7 weight% (wt%). Firstly, the morphology and size of the nanoparticles were evaluated via scanning electron microscopy (SEM) and X-ray diffraction (XRD). Secondly, flexural strength, flexural modulus, Vickers hardness, water sorption, and solubility were evaluated. The main effect plots revealed that the addition of nano-ZrO₂ particles enhances flexural strength, flexural modulus, and water sorption of GICs at a 7 wt% concentration and Vickers hardness at a 2 wt% concentration. The SEM analysis clearly shows that the cracks became narrower with the addition of nano-ZrO₂ particles, whereas these cracks were completely closed at 7% nano-ZrO₂ particles. The findings of the study appear promising, and it is anticipated that the optimization of nano-ZrO₂ particles may aid the development of improved materials for load-bearing restorations. Full article

Background/Objectives: This in vitro study investigated the retention of three different geometrical designs of short titanium base (Ti-base) abutments used in implant-supported zirconia crowns. The advent of digital technology has facilitated the integration of Ti-base abutments into implant dentistry by improving time efficiency, precision, and patient comfort. Methods: Three types of short Ti-base abutments were evaluated: Geo SRN multibase^® (Group A), Herilink^® (Group B), and TS Link^® (Group C), each with a height of 4 mm and gingival height of 1 mm (n = 20 per group). Zirconia crowns (LUXEN^® Smile S2, DentalMax, Republic of Korea) were modified for the testing setup and fabricated using CAD/CAM technology, then bonded to the abutments with RelyX^® Luting 2 resin-modified glass ionomer cement. Pull-out tests were conducted at a crosshead speed of 1 mm/min to assess retention. Results: One-way ANOVA and post hoc Tukey tests revealed significant differences in retention values among the different abutment shapes (p < 0.05). The mean retention forces were 194.65 N for Group A, 241.33 N for Group C, and 360.20 N for Group B. Conclusions: The geometrical design of Ti-base short abutments significantly affects the retention of CAD/CAM zirconia crowns, with hexagonal shapes (Group B) demonstrating superior retention. Clinically, selecting an abutment design with enhanced mechanical retention may improve the long-term success of implant-supported restorations. Full article

Objectives: Dental caries remains a prevalent issue in pediatric dentistry, necessitating restorative materials that not only repair decay but also provide protective benefits. Fluoride-releasing restorative materials have a key function in preventing recurrent caries by inhibiting bacterial activity and promoting remineralization. The objective of this study was to examine fluoride release from three pediatric dental restorative materials—Riva Light Cure HV, Fuji IX GP Fast, and the Cention Forte Filling Material—under different pH and temperature conditions. Methods: Specimens (10 mm diameter and 2 mm thickness; n = 3 for each material) were prepared according to the manufacturers’ instructions; immersed in buffer solutions at pH 4.8, 6.8, and 8.8; and stored at 37 °C and 44 °C. Fluoride release was quantified using ion chromatography at three time points (1 day, 7 days, and 28 days). Results: The data revealed that fluoride release was significantly influenced by pH, temperature, and time (p < 0.05). Riva Light Cure HV exhibited the highest release, particularly in acidic conditions (pH 4.8), reaching 40.14 mg/L at 44 °C after 28 days. The Cention Forte Filling Material and Fuji IX GP Fast also showed increased release over time, but with lower cumulative concentrations. Higher temperatures generally enhanced fluoride diffusion across all materials. Conclusions: These findings emphasize the pivotal impact of environmental factors in fluoride release dynamics. Riva Light Cure HV demonstrated superior fluoride release, particularly in acidic environments, suggesting its potential for high-caries-risk pediatric patients. These insights can inform the selection of restorative materials in pediatric dentistry, optimizing caries prevention strategies. Full article

This study aimed to evaluate the influence of different fluoride-containing toothpastes on fluoride uptake, surface roughness, and microhardness of six ion-releasing restorative dental materials, including glass hybrids (EQUIA Forte HT with and without coating), glass ionomer cements (Fuji IX), resin-modified GICs (Fuji II LC), alkasites (Cention Forte), and ion-releasing composites (Luminos UN and Activa). Specimens were prepared and subjected to a four-day brushing protocol using six toothpastes with varying fluoride formulations (NaF, SnF2, SMFP) and concentrations. Fluoride uptake was assessed by measuring fluoride release using an ion-selective electrode, while surface roughness and microhardness were assessed before and after brushing. Results revealed significant variations in fluoride uptake, with Fuji IX and EQUIA Forte HT showing the highest release, particularly when brushed with NaF-based toothpastes (Duraphat 5000 and 2800). Surface roughness increased post-brushing, with the greatest changes observed in Activa, while microhardness decreased across most materials, except for coated EQUIA Forte HT, which exhibited improved compactness. Resin-based composites, such as Luminos UN and Activa, demonstrated lower fluoride uptake and minimal changes in microhardness compared to GICs. The findings underscore the importance of material composition and toothpaste formulation in influencing fluoride dynamics, surface properties, and mechanical performance of restorative materials. Full article

Background: Root canal sealers remain in long-term contact with dental tissues, raising concerns about their potential adverse effects. Methods: This study evaluates the physicochemical properties and ion-release profiles of three dental materials: zinc oxide/eugenol-based sealer, zinc phosphate cement (luting agent), and glass-ionomer cement (restorative material) under acidic (pH 4) and neutral (pH 7) conditions over 24 h and 30 days to determine their behavior and bioactivity in vitro. The materials were evaluated for their setting time, consistency, film thickness, solubility, and ion release using atomic emission spectrometry. The influence of pH and exposure time on ion release was analyzed using multiple regression analysis. Results: All tested materials met the ISO standards for their respective categories. The zinc oxide/eugenol and zinc phosphate cements released increased levels of zinc in acidic environments (pH 4), suggesting potential antimicrobial properties. The glass-ionomer cement exhibited higher silicon and strontium release under a neutral pH (pH 7), indicating potential remineralization effects. Silver from the zinc oxide/eugenol material was below the detection limit of the applied method, suggesting minimal ion release under the tested conditions. Maximum zinc release from root canal sealer occurred after 30 days at pH 4 (1.39 ± 0.26 mg), while the highest silicon release from glass-ionomer cement was observed at pH 7 after 30 days (1.03 ± 0.21 mg). Conclusions: Zinc oxide/eugenol materials exhibited increased zinc release under acidic conditions. In contrast, the restorative and luting materials demonstrated distinct ion-release patterns, aligning with their respective intended applications rather than endodontic purposes. Full article

Aim: This systematic review evaluates the effectiveness and clinical outcomes of Atraumatic Restorative Treatment (ART) in pediatric dentistry, comparing it with other restorative techniques, analyzing material performance, assessing cost-effectiveness, and exploring the long-term success in managing dental caries. Background: ART is a minimally invasive approach that removes decayed tissue using hand instruments and restores teeth with adhesive materials like glass ionomer cement (GIC). ART is particularly valuable in pediatric dentistry due to its simplicity, reduced discomfort, and suitability for resource-limited settings. It eliminates the need for anesthesia and expensive dental equipment, making it accessible in remote and underserved areas. Studies have shown its effectiveness in providing durable restorations while improving patient comfort. Materials and Methods: This systematic review follows the PRISMA guidelines. PubMed, Web of Science, and Scopus were searched for studies published in the last ten years. The inclusion criteria included in vivo studies on children, randomized controlled trials, and case–control studies assessing ART’s effectiveness. Quality and risk of bias were evaluated using the ROBINS-I tool. Results: Eighteen studies met the inclusion criteria. ART effectively managed dental caries, especially with high-viscosity GIC. Comparisons with the Hall Technique and Papacarie showed that ART remains a viable, cost-effective option. Conclusions: ART is a reliable, minimally invasive technique for pediatric restorative dentistry. Its accessibility and cost-effectiveness make it suitable for low-resource settings. High-quality materials and technique modifications further enhance restoration longevity. Full article

Although glass ionomer cements (GIC) are widely used in dental restorations, their long-term performance remains limited by their mechanical properties, including surface roughness and fracture resistance. This study investigates the synthesis of nano-silica from Thalassiosira sp. diatoms through the sol-gel process and its application in influencing the mechanical and physical properties of GIC luting materials. A control group and three experimental groups of different nano-silica concentrations (1%, 3%, and 5%) were compared. Several analyses, including confocal laser scanning microscopy (CLSM), scanning electron microscopy (SEM), and universal testing machines (UTM), were used to determine layer thickness, surface roughness, compressive strength, and tensile strength. Statistical analysis exhibited significant differences between the groups (p < 0.05). The 3% nano-silica group indicated an optimal compromise between mechanical strength and surface smoothness, while the 5% group showed increased thickness and roughness with slightly lower strength. These findings emphasize that the sol-gel-derived nano-silica from Thalassiosira sp. potentially enhances certain characteristics of GIC for possible dental cementation. Further research is needed to determine the long-term durability and bioactivity of these modified materials. Full article

Objective: This systematic review evaluates the evidence on factors affecting fluoride release from compomer restorative materials to provide clinicians with insights for optimizing their use in caries prevention. Methods: In February 2025, an extensive digital search was conducted across reputable databases such as PubMed, Web of Science, and Scopus. The search utilized carefully chosen keywords: “fluoride release” AND “compomer” and followed the PRISMA guidelines. Initially, 287 articles were identified, but after applying the inclusion criteria, 34 studies were selected for review. Results: This review found that fluoride release from compomers follows an initial burst phase before stabilizing at lower levels. Fifteen studies proved that compomers release less fluoride than glass ionomer cements but more than composite resins, as concluded from six studies. The release rate is significantly influenced by pH, with acidic conditions enhancing fluoride diffusion. Some studies also highlighted the potential for fluoride recharge through external applications such as toothpaste or varnish. Conclusion: Compomer restorative materials offer a steady, moderate fluoride release that supports caries prevention. Their effectiveness is enhanced in acidic environments, supporting their use in high-risk patients. Full article